Individual
MS. BERTHA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11452 SPACE CENTER BLVD, HOUSTON, TX 77059-3599
(713) 486-6200
(713) 486-6297
Mailing address
11452 SPACE CENTER BLVD, HOUSTON, TX 77059-3599
(713) 486-6200
(713) 486-6297
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04706
PA LICENSE
TX
Enumeration date
09/13/2006
Last updated
05/19/2023
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