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Individual

DR. LUIS HERNANDO CAMACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., MPH

Contact information

Practice address
6560 FANNIN STREET, SUITE 1224, HOUSTON, TX 77030
(713) 796-1200
(713) 795-0735
Mailing address
6560 FANNIN ST, SUITE 1224, HOUSTON, TX 77030-2761
(713) 796-1200
(713) 795-0735

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L2829
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01065744
AMERIGROUP
05
148041001
TX
01
8P0572
HMO BLUE
TX
Enumeration date
09/24/2006
Last updated
08/15/2014
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