Individual
MICAH OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 RAINBOW DR # 15755, LIVINGSTON, TX 77399-2057
(954) 802-2452
Mailing address
257 RAINBOW DR # 15755, LIVINGSTON, TX 77399-2057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1105205
TX
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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