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1043288988

NPI Code Detail

MEDICARE: PATRICIA FUYUKI CAMPBELL MD

MEDICARE: PATRICIA FUYUKI CAMPBELL 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	208000000X	Pediatrics Physician	MD423285	PA
2	208000000X	Pediatrics Physician	J8942	TX
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	MD423285	PA
4	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	J8942	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8V3104	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	030779505	OTHER	TX	CSHCN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	606695	OTHER	PW	HIGHMARK BS

General Provider Information

NPI Number	:	1043288988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA FUYUKI CAMPBELL MD

Provider Business Mailing Address
First Line	:	6621 FANNIN ST STE A210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2358
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6621 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2358
Country	:	US
Telephone Number	:	832-824-1000
Fax Number	:

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	04/20/2023

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Directions to “ PATRICIA FUYUKI CAMPBELL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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