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CAMPBELL UROLOGY P.A. NPI 1215057906


NPI Information

NPI: 1215057906
Provider Name: CAMPBELL UROLOGY, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1111 W FRANK AVE
SUITE 201
LUFKIN, TX
ZIP 75904
Phone: (936) 639-6335
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CAMPBELL UROLOGY, P.A. is a specialist in Lufkin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAMPBELL UROLOGY, P.A. NPI is 1215057906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 W FRANK AVE
SUITE 201
LUFKIN, TX
ZIP 75904-303
Phone: (936) 639-6335
Fax: (936) 639-6980

The provider's authorized official is Brent Barton Campbell .
The authorized official title is Owner and has the following contact phone number (936) 639-6335.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistK3118TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100777RMEDICARE PINTEXAS
2149258902MEDICAIDTEXAS
3G30861MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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