Individual
DONALD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
628 HIDE A WAY LN E, HIDEAWAY, TX 75771-5302
(903) 570-9866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027175
PTA LICENSE
TX
Enumeration date
08/01/2018
Last updated
08/01/2018
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