Individual
JOHN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2338
(903) 577-6000
(903) 577-6245
Mailing address
1701 OAKMONT CIR, LONGVIEW, TX 75605-2660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K6754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120535
CHIP PROGRAM
TX
01
—
157336201
COUNTY AGENCY
TX
05
—
157336201
—
TX
01
—
752961826A008
CHAMPUS
TX
01
—
8H0680
BLUE CROSS BLUE SHIELD TX
TX
01
—
MDK6754
WORKERS COMP
TX
01
—
P00048098
TRAVELER MEDICARE
TX
Enumeration date
04/27/2006
Last updated
04/27/2026
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