Individual
IVAN WILLIAM CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7326 ABILENE ST, HOUSTON, TX 77020-5404
(346) 717-4003
(713) 672-1758
Mailing address
7326 ABILENE ST, HOUSTON, TX 77020-5404
(346) 717-4003
(713) 672-1758
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/11/2023
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