Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | Q6159 | TX |
NPI | 1124252887 |
---|---|
Provider Name | Carmen M Campbell |
First Address | Mesquite, TX 75150 |
Second Address | Mesquite, TX 75150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 19/02/2016 |