MEDICARE: MARY CAMPBELL-FOX D.O.

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	207Q00000X	Family Medicine Physician	H4207	TX

General Provider Information

NPI Number	:	1174585871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CAMPBELL-FOX D.O.

Provider Business Mailing Address
First Line	:	PO BOX 57845
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-7845
Country	:	US
Telephone Number	:	281-484-5587
Fax Number	:	281-506-1010

Provider Business Practice Location Address
First Line	:	10950 RESOURCE PKWY STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6158
Country	:	US
Telephone Number	:	281-484-5587
Fax Number	:	281-506-1010

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	04/13/2026

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