Provider Demographics
NPI:1003079989
Name:CAMPBELL, JAIME ALBERT (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ALBERT
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:A
Other - Last Name:ALBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 GASTON AVE
Mailing Address - Street 2:BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2017
Mailing Address - Country:US
Mailing Address - Phone:214-820-3772
Mailing Address - Fax:
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2017
Practice Address - Country:US
Practice Address - Phone:214-820-3772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8700207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology