Campa, Molly T
Campa, Molly T is an sole proprietor health care provider with primary practice located at 6811 Austin Center Blvd Ste 300 , Austin TX 78731-3295. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Campa, Molly T can be contacted via phone (214) 820-6183.Contact Information
Primary practice address
6811 Austin Center Blvd Ste 300
Austin TX 78731-3295
Phone: (214) 820-6183
Fax: (512) 406-7321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | Q4912 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Q4912 | Texas |
Profile Details
| NPI number | 1053756940 |
|---|---|
| LBN Legal business name | Campa, Molly T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2013 |
| Last updated | Feb 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053756940 | NPPES |
| Texas | MEDICAID | 418161201 | |
| Texas | MEDICAID | 418161202 |
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