Individual
MRS. NICCOLE READ CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18322 SONTERRA PL STE 107, SAN ANTONIO, TX 78258-4196
(210) 495-5771
(210) 966-9106
Mailing address
123 MIRROR LK, SAN ANTONIO, TX 78260-4351
(210) 488-1961
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
06/06/2013
Last updated
11/01/2022
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