C. D. Demarque, MD, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

J1969 Issued in TX

Legal business name

C. D. DEMARQUE, MD, PA

Practice address

320 Regal Row
Suite 300
Dallas, TX 75247-5200

Phone

(817) 308-8477

NPI assigned

May 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Demarque

Title

Medical Director

Phone

(817) 308-8477

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1477963072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD",
            "address_2": "#122-286",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 REGAL ROW",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475200",
            "telephone_number": "817-308-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. D. DEMARQUE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "DEMARQUE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-308-8477"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Lee Transportation LLC
• C M First Assisting
• C M First Assisting, Inc.
• C M Medical Equipment
• C. Cordell Adams MD PA
• C. Gilbert Falke, M.D. and Associates
• C.C. Young Memorial Home (C.C. Young Home Health)
• C.C. Young Memorial Home (C.C. Young Home Health and Hospice)
• C.E.Yates Enterprises LLC (Divine Faith House)
• C&a Pharmaceutical Enterprises, LLC

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.