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NPI Code Detail

MEDICARE: CARLOS CAMPOS MD PA

MEDICARE: CARLOS CAMPOS MD PA
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
1261QP2300XPrimary Care Clinic/CenterF9273TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346213675
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOS CAMPOS MD PA
Provider Business Mailing Address
First Line : 189 E AUSTIN ST
Second Line : SUITE 102
City : NEW BRAUNFELS
State : TX
Zip : 78130-4104
Country : US
Telephone Number : 830-629-8161
Fax Number : 830-620-4908
Provider Business Practice Location Address
First Line : 189 E AUSTIN ST
Second Line : SUITE 102
City : NEW BRAUNFELS
State : TX
Zip : 78130-4104
Country : US
Telephone Number : 830-629-8161
Fax Number : 830-620-4908
Authorized Official
Title or Position : PRESIDENT
Name : DR. CARLOS CAMPOS
Credential : M.D., M.P.H.
Telephone Number : 830-629-8161
Provider Enumeration Date : 02/08/2006
Last Update Date : 09/27/2007

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Directions to “CARLOS CAMPOS MD PA ” Practice Location

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