Individual
STEPHEN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2530 ASHLOCK DR, CORPUS CHRISTI, TX 78418-4787
(971) 533-2046
Mailing address
2530 ASHLOCK DR, CORPUS CHRISTI, TX 78418-4787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT104454
TX
Other
Enumeration date
09/16/2024
Last updated
12/20/2024
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