Individual
DR. CANDACE CAMPOS KENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 W LYNWOOD AVE, SAN ANTONIO, TX 78212-2592
(210) 393-5106
Mailing address
302 W LYNWOOD AVE, SAN ANTONIO, TX 78212-2592
(210) 393-5106
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
K5476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G1792
MEDICAR NUMBER
TX
Enumeration date
04/28/2006
Last updated
03/30/2020
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