| Dr Mitra Margaret Campbell, DO | |
|
6001 Kyle Pkwy, Kyle, TX 78640-6112 | |
| (512) 504-5125 | |
| Not Available |
| Full Name | Dr Mitra Margaret Campbell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 6001 Kyle Pkwy, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013105543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101017492 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | N7686 (Texas) | Primary |
| Entity Name | Leading Edge Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189 |
| Entity Name | Longhorn Emergency Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitra Margaret Campbell, DO 3014a S 4th St, Austin, TX 78704-6218 Ph: (512) 636-5228 | Dr Mitra Margaret Campbell, DO 6001 Kyle Pkwy, Kyle, TX 78640-6112 Ph: (512) 504-5125 |
Jesse Steven Rodriguez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 Bunton Creek Rd, Suite 100, Kyle, TX 78640 Phone: 512-268-2068 | |
David Lawlor, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Humberto Salazar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Dr. Jonathan B Lopez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 | |
Shana Godfred-cato, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4100 Everett, Suite 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Gunnar Maximillian Reichenberger, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6001 Kyle Pkwy, Kyle, TX 78640 Phone: 512-504-5000 Fax: 512-324-1017 |