Provider Demographics
NPI:1508281429
Name:CAMPBELL, DAWNA (M A)
Entity Type:Individual
Prefix:
First Name:DAWNA
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:TX
Mailing Address - Zip Code:76687-2101
Mailing Address - Country:US
Mailing Address - Phone:254-640-2536
Mailing Address - Fax:
Practice Address - Street 1:1105 WOODED ACRES DR
Practice Address - Street 2:SUITE 545
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4468
Practice Address - Country:US
Practice Address - Phone:254-235-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2014-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program