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NPI Code Detail

MEDICARE: REBECCA LEE CAMPOS MD

MEDICARE:   REBECCA LEE CAMPOS  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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10031035TX
2207Q00000XFamily Medicine PhysicianN8383TX

Other Identifiers

General Provider Information

NPI Number : 1558523530
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEE CAMPOS MD
Provider Business Mailing Address
First Line : 11130 CHRISTUS HLS
Second Line : MEDICAL PLAZA 2, SUITE 201
City : SAN ANTONIO
State : TX
Zip : 78251-3585
Country : US
Telephone Number : 210-703-9001
Fax Number : 210-703-9155
Provider Business Practice Location Address
First Line : 2000 TRANSMOUNTAIN RD STE B
Second Line :
City : EL PASO
State : TX
Zip : 79911-3602
Country : US
Telephone Number : 915-215-8400
Fax Number : 915-612-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 10/22/2020

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