Provider Demographics
NPI:1689057341
Name:JOSEPH P CAMERO MD PA
Entity Type:Organization
Organization Name:JOSEPH P CAMERO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PORFIRIO
Authorized Official - Last Name:CAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-726-4743
Mailing Address - Street 1:1710 E SAUNDERS ST
Mailing Address - Street 2:STE. B370
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-726-4743
Mailing Address - Fax:956-794-8822
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:STE. B370
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-726-4743
Practice Address - Fax:956-794-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG98412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00678TOtherMEDICARE PTAN
TX122905605Medicaid
C14104Medicare UPIN