Provider Demographics
NPI:1891959615
Name:CAMPBELL, WINFIELD M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WINFIELD
Middle Name:M
Last Name:CAMPBELL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18400 KATY FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1286
Mailing Address - Country:US
Mailing Address - Phone:832-522-8280
Mailing Address - Fax:
Practice Address - Street 1:18400 KATY FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1286
Practice Address - Country:US
Practice Address - Phone:832-522-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9900207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
616771105OtherUS DEPT OF LABOR
TX8DY878OtherBLUE CROSS BLUE SHIELD
TX8CA770OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX9368359OtherAETNA
TX614284000OtherDEPT OF LABOR
616771110OtherUS DEPT OF LABOR
TXP01186486OtherRR MEDICARE
TX1891959615OtherBLUE CROSS BLUE SHIELD
TX326529001Medicaid
TX610197302OtherUS DEPT OF LABOR
TX326529002Medicaid
601771109OtherUS DEPT OF LABOR
616771101OtherUS DEPT OF LABOR
TXP00920430OtherMEDICARE RR
TX610197302OtherUS DEPT OF LABOR
601771109OtherUS DEPT OF LABOR
616771101OtherUS DEPT OF LABOR
TXTXB151702Medicare PIN