Individual
MRS. SHANNON O. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY, BUILDING B, SUITE 100, AUSTIN, TX 78746-7762
(512) 328-7666
(512) 328-3547
Mailing address
2499 S CAPITAL OF TEXAS HWY, BUILDING B, SUITE 100, AUSTIN, TX 78746-7762
(512) 328-7666
(512) 328-3547
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01960
TX
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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