Campagna, Gina Marie

Campagna, Gina Marie is an individual health care provider with primary practice located at 500 W 4Th St , Odessa TX 79761-5001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Campagna, Gina Marie can be contacted via phone (432) 640-1273.

Contact Information

Primary practice address
500 W 4Th St Odessa TX 79761-5001
Fax: (432) 640-4606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L9639 Texas

Profile Details

NPI number 1568464329
LBN Legal business name Campagna, Gina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jan 10th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568464329 NPPES
Texas MEDICAID 167002803

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