Healthcare Provider Details

I. General information

NPI: 1144493891
Provider Name (Legal Business Name): HAISAR EDUARDO DAO CAMPI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4211 N JACKSON RD
MCALLEN TX
78504-6907
US

IV. Provider business mailing address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 956-365-4400
  • Fax: 956-365-4111
Mailing address:
  • Phone: 210-450-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberQ8458
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberQ8458
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: