Individual
DR. TANNER RAY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13340 HIGHLAND HILLS DR STE 112, ALEDO, TX 76008-2000
(682) 303-3000
(682) 303-3026
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A186813
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
V1421
TX
Other
Enumeration date
03/28/2018
Last updated
09/10/2024
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