Individual
DONNA SUE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 SHULT DR, COLUMBUS, TX 78934-3016
(979) 732-2371
(979) 732-9242
Mailing address
PO BOX 865, COLUMBUS, TX 78934-0865
(979) 732-2371
(979) 732-9242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H7936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140122604
—
TX
Enumeration date
08/17/2006
Last updated
11/04/2010
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