Organization
CENTRAL METROPOLITAN MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BOLIVER-CAMPBELL M.D. (SOLE PROPRIETOR)
(713) 523-4420
Entity
Organization
Contact information
Practice address
1707 CALUMET ST, HOUSTON, TX 77004-7209
(713) 523-4420
(713) 523-4335
Mailing address
1707 CALUMET ST, HOUSTON, TX 77004-7209
(713) 523-4420
(713) 523-4335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118462404
—
TX
Enumeration date
11/14/2006
Last updated
10/29/2007
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