Provider Demographics
NPI:1487838256
Name:CAMPOS, MARCO ANDRES (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:ANDRES
Last Name:CAMPOS
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 GESSNER RD
Mailing Address - Street 2:SUITE 630
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2545
Mailing Address - Country:US
Mailing Address - Phone:713-465-3535
Mailing Address - Fax:713-365-2231
Practice Address - Street 1:925 GESSNER RD
Practice Address - Street 2:SUITE 630
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-465-3535
Practice Address - Fax:713-365-2231
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9901207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX325642201Medicaid
TXM9901OtherSTATE LICENSE