Molly T Campa
Dermatologist General Practice Physician
6811 Austin Center Blvd Ste 300
Austin
, Texas 78731-3295
Molly T Campa
Dermatologist General Practice Physician
6811 Austin Center Blvd Ste 300
Austin
, Texas 78731-3295
(512) 406-6216
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About
Features
Specialties
- Dermatologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Molly T Campa
- 6210 E Hwy 290
- Austin, TX
- Zip : 78723-1142
- Fax : (512) 406-6216
- Phone : (512) 483-9569
Second Address
- Molly T Campa
- 6811 Austin Center Blvd Ste 300
- Austin, TX
- Zip : 78731-3295
- Fax : (512) 406-7321
- Phone : (214) 820-6183
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | Q4912 | TX |
| N | 208D00000X | General Practice Physician | Q4912 | TX |
National Provider Identifier
| NPI | 1053756940 |
|---|---|
| Provider Name | Molly T Campa |
| First Address | Austin, TX 78723-1142 |
| Second Address | Austin, TX 78731-3295 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2013 |
| Last Update Date | 02/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 418161201 | (05) | TX |
| 418161202 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.