Campbell Medical Group PLLC
Internal Medicine in Houston, TX. Organization (NPI-2).
NPI number1982102414
StatusActive
Last updated in NPPESJan 14, 2020
Details
- NPI
- 1982102414
- Entity type
- Organization (NPI-2)
- Legal business name
- Campbell Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2018
- Certification date
- Jan 14, 2020
- Last updated
- Jan 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
1012 Campbell RdA
Houston, TX 77055
Phone 713-468-3155 · Fax 281-809-9881
Mailing address
1012 Campbell RdA
Houston, TX 77055
Phone 713-468-3155
Authorized official
Suhyun An
Owner And Provider
7134683155
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