Provider Demographics
NPI:1942217211
Name:CAMPAGNA, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:CAMPAGNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:414 NAVARRO ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2516
Mailing Address - Country:US
Mailing Address - Phone:210-223-5561
Mailing Address - Fax:210-223-5093
Practice Address - Street 1:414 NAVARRO ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2516
Practice Address - Country:US
Practice Address - Phone:210-223-5561
Practice Address - Fax:210-223-5093
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2010-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK1792207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK1792OtherPHYSICIAN PERMIT
TX116875903OtherMEDICAID
TX116875903Medicaid
TX83C279OtherMEDICARE PIN
TXF30142Medicare UPIN
TX829118Medicare PIN