Provider Demographics
NPI:1851487151
Name:CAMPION, KAREN M (DC CCSP FIAMA)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:CAMPION
Suffix:
Gender:F
Credentials:DC CCSP FIAMA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:CAMPION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC PA
Mailing Address - Street 1:3120 TX AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5050
Mailing Address - Country:US
Mailing Address - Phone:979-693-6500
Mailing Address - Fax:979-693-0091
Practice Address - Street 1:3120 TX AVE SOUTH
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5050
Practice Address - Country:US
Practice Address - Phone:979-693-6500
Practice Address - Fax:979-693-0091
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
358559700OtherOWCP
358559700OtherOWCP
U14247Medicare UPIN
U14247Medicare UPIN