Individual
MR. FERNANDO CAMPOVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
16750 RED OAK DR, HOUSTON, TX 77090-2543
(281) 453-7750
Mailing address
PO BOX 820072, HOUSTON, TX 77282-0072
(832) 421-7828
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00273
TX
Other
Enumeration date
01/03/2007
Last updated
01/31/2019
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