Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | AP135804 | TX |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 2017020871 | MO |
NPI | 1124556501 |
---|---|
Provider Name | Markie A Campfield |
First Address | Dallas, TX 75235-7701 |
Second Address | Dallas, TX 75235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2017 |
Last Update Date | 23/07/2019 |