Individual
DR. JOHN A CAMPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K1792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116875903
MEDICAID
TX
05
—
116875903
—
TX
01
—
83C279
MEDICARE PIN
TX
01
—
K1792
PHYSICIAN PERMIT
TX
Enumeration date
08/01/2006
Last updated
02/19/2010
Update your record
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