Individual
D SCOTT CAMPANINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4102 RICHMOND MDWS, TEXARKANA, TX 75503-0067
(903) 223-1014
(903) 223-1028
Mailing address
4102 RICHMOND MDWS, TEXARKANA, TX 75503-0067
(903) 223-1014
(903) 223-1028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J4738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041650501
—
TX
05
—
119793001
—
AR
Enumeration date
11/02/2005
Last updated
07/17/2015
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