Individual
DR. STEVEN M CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 LOCKE AVENUE, SUITE 320, FORT WORTH, TX 76107
(817) 228-4315
(682) 316-3049
Mailing address
3455 LOCKE AVE, SUITE 320, FORT WORTH, TX 76107-5745
(817) 228-4315
(682) 316-3049
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P1169
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
P1169
TX
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
P1169
TX
208600000X
Surgery Physician
121464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2972580-01
—
TX
Enumeration date
03/01/2007
Last updated
10/06/2016
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