Campbell, Christi A

Campbell, Christi A is an individual health care provider with primary practice located at 11110 Tom Adams Dr , Austin TX 78753-3354. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Campbell, Christi A can be contacted via phone (512) 250-9140.

Contact Information

Primary practice address
11110 Tom Adams Dr Austin TX 78753-3354
Phone: (512) 250-9140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 521075 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 521075 Texas

Profile Details

NPI number 1073514667
LBN Legal business name Campbell, Christi A
Credentials FNP,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 27th, 2020 - about 5 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 1073514667 NPPES
Texas MEDICAID 177450702
Texas Other 8Y5079

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