Individual
DR. JUAN IGNACIO CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Mailing address
16019 VIA SHAVANO, SAN ANTONIO, TX 78249-2370
(210) 696-9292
(210) 690-8815
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K8047
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
K8047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092HK
BCBS
TX
05
—
046633602
—
TX
Enumeration date
10/16/2006
Last updated
07/23/2014
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