Carl S Campbell, RD | |
6301 Gaston Ave, Suite 100 West Tower, Dallas, TX 75214-3922 | |
(214) 827-3610 | |
(214) 821-4017 |
Full Name | Carl S Campbell |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 12 Years |
Location | 6301 Gaston Ave, Dallas, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174956726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT82578 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Southwestern Medical Center | 0648188250 | 2569 |
Provider Name | University Of Texas Southwestern Medical Center At Dallas |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
---|---|
Carl S Campbell, RD 6301 Gaston Ave, Suite 100 West Tower, Dallas, TX 75214-3922 Ph: (214) 827-3610 | Carl S Campbell, RD 6301 Gaston Ave, Suite 100 West Tower, Dallas, TX 75214-3922 Ph: (214) 827-3610 |
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