# GARY L CAMPBELL DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699175059
- **Authorized official:** GARY LEE CAMPBELL DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (210) 744-6729

## Contact information

- **Practice address:** 6116 OAKBEND TRL, STE 112, FORT WORTH, TX 76132-3925
- **Practice address phone:** (817) 346-7800
- **Practice address fax:** (817) 346-7804
- **Mailing address:** 6116 OAKBEND TRL, STE 112, FORT WORTH, TX 76132-3925
- **Mailing address phone:** (817) 346-7800
- **Mailing address fax:** (817) 346-7804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014