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Individual

MOLLY T CAMPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6811 AUSTIN CENTER BLVD STE 300, AUSTIN, TX 78731-3295
(214) 820-6183
(512) 406-7321
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9569
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q4912
TX
208D00000X
General Practice Physician
Q4912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
418161201
TX
05
418161202
TX
Enumeration date
05/06/2013
Last updated
02/02/2021
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