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NPI 1710474002

NPI 1710474002 : MIGUEL ADRIAN MICHEL OCAMPO MD : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1710474002
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    Entity Type          |    Individual 
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    Provider Name        |    MIGUEL ADRIAN MICHEL OCAMPO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/23/2018
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    5206 RESEARCH DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78240-5251
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    Country              |    US
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    Telephone            |    210-595-5300
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    Fax                  |    210-595-5628
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Provider Business Mailing Address
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    Address Line         |    PO BOX 911230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75391-1230
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    Country              |    US
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    Telephone            |    972-997-8000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A173419
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    V6643
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A173419
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    License Number State |    CA
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