Individual
PAUL NICHOLAS CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
812 S MAGNOLIA ST, ROCKPORT, TX 78382-2438
(361) 205-4303
Mailing address
812 S MAGNOLIA ST, ROCKPORT, TX 78382-2438
(361) 205-4303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2121623
TX
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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