MEDICARE: CAMP EMERGENCY MEDICINE ASSOCIATES PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363AM0700X	Medical Physician Assistant
2	363L00000X	Nurse Practitioner
3	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1902821515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMP EMERGENCY MEDICINE ASSOCIATES PA

Provider Business Mailing Address
First Line	:	200 COPORATE BLVD
Second Line	:	SUITE 201
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-0000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 US HIGHWAY 271 N
Second Line	:
City	:	PITTSBURG
State	:	TX
Zip	:	75686-4289
Country	:	US
Telephone Number	:	903-946-5000
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL A PAWLOWSKI
Credential	:	MD
Telephone Number	:	800-893-9698

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	03/29/2011

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Directions to “CAMP EMERGENCY MEDICINE ASSOCIATES PA ” Practice Location

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