Campbell, Brent Barton
Campbell, Brent Barton is an individual health care provider with primary practice located at 1111 W Frank Ave Suite 201, Lufkin TX 75904-3303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Campbell, Brent Barton can be contacted via phone (936) 639-6335.Contact Information
Primary practice address
1111 W Frank Ave Suite 201
Lufkin TX 75904-3303
Phone: (936) 639-6335
Fax: (936) 639-6980
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | K3118 | Texas |
Profile Details
NPI number | 1326058363 |
---|---|
LBN Legal business name | Campbell, Brent Barton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Dec 28th, 2009 - about 15 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 | 1326058363 | NPPES |
Texas | MEDICAID | 149258902 | |
Texas | Other | 752712166 |
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