Individual
DERRICK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-5295
(512) 439-1000
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169401
LICENSE#
TX
Enumeration date
08/17/2007
Last updated
05/25/2010
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