Individual
GARY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6116 OAKBEND TRL, SUITE 112, FORT WORTH, TX 76132-3925
(817) 346-7800
Mailing address
6116 OAKBEND TRL, SUITE 112, FORT WORTH, TX 76132-3925
(817) 346-7800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L3599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151503302
—
TX
Enumeration date
08/25/2006
Last updated
09/05/2014
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