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Organization

WINFIELD CAMPBELL M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MAY DICLEMENTE (OFFICE MANAGER)
(281) 647-7720
Entity
Organization

Contact information

Practice address
19770 KINGSLAND BLVD, SUITE 300, HOUSTON, TX 77094-1031
(281) 647-7720
(281) 647-7721
Mailing address
19770 KINGSLAND BLVD, SUITE 300, HOUSTON, TX 77094-1031
(281) 647-7720

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M9900
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080SK
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
06/04/2009
Last updated
10/08/2009
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