Provider Demographics
NPI:1619509718
Name:DE OCAMPO MEDICAL PARTNERS PLLC
Entity Type:Organization
Organization Name:DE OCAMPO MEDICAL PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:DE OCAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-896-8080
Mailing Address - Street 1:PO BOX 294806
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-4806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7500 N DREAMY DRAW DR STE 133
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4668
Practice Address - Country:US
Practice Address - Phone:480-718-9241
Practice Address - Fax:480-718-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty