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MODOMA PHYSICAL MEDICINE
NPI 1538564018
Clinic/Center in Plano, TX

Active since October 27, 2014
5301 VILLAGE CREEK DR, SUITE B, PLANO, TX 75093(972) 250-3443 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modoma Physical Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODOMA PHYSICAL MEDICINE (NPI 1538564018) is a healthcare organization registered as a clinic/center in Plano, Texas and active in the NPI registry since October 2014. The organization lists Charles Demarque, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538564018
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMODOMA PHYSICAL MEDICINE
Location Address5301 VILLAGE CREEK DR, SUITE BPlano, TX 75093-4838
Mailing Address4020 N Macarthur Blvd, #122-286Irving, TX 75038-6419
Phone(972) 250-3443
Organization SubpartNo
Authorized OfficialCharles DemarqueMedical Director · (817) 308-8477
Enumeration DateOctober 27, 2014
✔ NPI 1538564018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5301 VILLAGE CREEK DR, Plano, TX 75093
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROCKMAN COUNSELING LLC
Counselor (Professional)
5301 VILLAGE CREEK DR, STE B
PLANO, TX 75093
Collin County (972) 372-9644
MRS. GAIL S DONOFF LCSW
Marriage & Family Therapist
5301 VILLAGE CREEK DR, SUITE D
PLANO, TX 75093
Collin County (972) 250-4847
SENIOR PERSONAL CARE LLC
Home Health
5301 VILLAGE CREEK DR, SUITE A
PLANO, TX 75093
Collin County (972) 930-7999
THE KNEAD MEDMASSAGE LLC
Chiropractor
5301 VILLAGE CREEK DR, SUITE B
PLANO, TX 75093
Collin County (469) 304-3443
BALANCE COUNSELING INC
Community/Behavioral Health
5301 VILLAGE CREEK DR, STE E
PLANO, TX 75093
Collin County (972) 372-9644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modoma Physical Medicine's NPI number?

The NPI number for Modoma Physical Medicine is 1538564018. It was assigned to this organization in the NPPES registry on October 27, 2014.

Where is Modoma Physical Medicine located?

Modoma Physical Medicine is located at 5301 Village Creek Dr Suite B, Plano, TX 75093. The listed phone number is (972) 250-3443.

What is Modoma Physical Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Modoma Physical Medicine was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.