Provider Demographics
NPI:1922647387
Name:CAMPBELL, ERICA N
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:N
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16622 WHITEOAK CANYON DR
Mailing Address - Street 2:
Mailing Address - City:ATASCOCITA
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4168
Mailing Address - Country:US
Mailing Address - Phone:832-768-2381
Mailing Address - Fax:
Practice Address - Street 1:3100 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3000
Practice Address - Country:US
Practice Address - Phone:832-768-2381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX834334163WL0100X
TXL-135791163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant