Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | M9188 | TX |
NPI | 1013197748 |
---|---|
Provider Name | Dr. Andrea L. Campaigne |
First Address | Austin, TX 78759-5785 |
Second Address | Austin, TX 78758-5354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 30/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201083703 | (05) | TX |
201083704 | (05) | TX |