| Carlos Campos Md Pa | |
|
189 E Austin St Suite 102 New Braunfels TX 78130-4104 | |
| (830) 629-8161 | |
| (830) 620-4908 |
| Full Name | Carlos Campos Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 189 E Austin St, New Braunfels, Texas |
| Authorized Official Name and Position | Carlos Campos (PRESIDENT) |
| Authorized Official Contact | 8306298161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Campos Md Pa 189 E Austin St Suite 102 New Braunfels TX 78130-4104 Ph: (830) 629-8161 | Carlos Campos Md Pa 189 E Austin St Suite 102 New Braunfels TX 78130-4104 Ph: (830) 629-8161 |
| NPI Number | 1346213675 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 09/27/2007 |
| Medicare PECOS PAC ID | 2567591613 |
|---|---|
| Medicare Enrollment ID | O20100527000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346213675 | NPI | - | NPPES |
| 1002917-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F9273 (Texas) | Primary |
| Provider Name | Carlos Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376730747 PECOS PAC ID: 3375451594 Enrollment ID: I20100527000273 |
| Provider Name | Nathan James Lesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568864031 PECOS PAC ID: 8022332295 Enrollment ID: I20150116000355 |
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