Campos-De-La-Borbolla, Luis

Campos-De-La-Borbolla, Luis is an individual health care provider with primary practice located at 1265 Union Ave Suite 184, Memphis TN 38104-3415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Campos-De-La-Borbolla, Luis can be contacted via phone (901) 516-0929.

Contact Information

Primary practice address
1265 Union Ave Suite 184 Memphis TN 38104-3415
Phone: (901) 516-0929
Fax: (901) 516-8993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0060736 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 44107 Tennessee

Profile Details

NPI number 1487677548
LBN Legal business name Campos-De-La-Borbolla, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 4th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487677548 NPPES
Mississippi MEDICAID 00873097
Mississippi MEDICAID Q002436
Mississippi Other 4355465
Mississippi MEDICAID 170500001

Popular Providers