MEDICARE: DR. GIOVANNI ANTONIO CAMPAGNA II MD

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
1	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	S7401	TX

General Provider Information

NPI Number	:	1760942684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIOVANNI ANTONIO CAMPAGNA II MD

Provider Business Mailing Address
First Line	:	751 S WASHINGTON ST
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-5022
Country	:	US
Telephone Number	:	830-997-6535
Fax Number	:	830-997-9695

Provider Business Practice Location Address
First Line	:	751 S WASHINGTON ST
Second Line	:
City	:	FREDERICKSBURG
State	:	TX
Zip	:	78624-5022
Country	:	US
Telephone Number	:	830-997-6535
Fax Number	:	830-997-9695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	01/27/2026

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