# REBECCA LEE CAMPOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558523530
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N8383 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10031035 | TX | — |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 10/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2847311-06 | — | TX |
| 01 | — | 2847311-07 | MEDICAID CSHCN | TX |