Campbell, Mark Robert
Campbell, Mark Robert is an individual health care provider with primary practice located at 420 N Collegiate Dr Ste 300, Paris TX 75460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Campbell, Mark Robert can be contacted via phone (903) 785-4499.Contact Information
Primary practice address
420 N Collegiate Dr Ste 300
Paris TX 75460
Phone: (903) 785-4499
Fax: (903) 785-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | F3809 | Texas |
Profile Details
| NPI number | 1073541090 |
|---|---|
| LBN Legal business name | Campbell, Mark Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1073541090 | NPPES |
| Texas | MEDICAID | 128162804 |
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