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NPI Code Detail

MEDICARE: CHELSEA CAMPBELL

MEDICARE: CHELSEA CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife99273TX

General Provider Information

NPI Number : 1669904991
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA CAMPBELL
Provider Business Mailing Address
First Line : 18003 RAVENFIELD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77084-2333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1002 AVENUE A
Second Line :
City : KATY
State : TX
Zip : 77493-2462
Country : US
Telephone Number : 832-437-5876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/27/2017

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Directions to “ CHELSEA CAMPBELL ” Practice Location

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