Provider Demographics
NPI:1952845752
Name:CAMPBELL, LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1301 SWEET GUM LN
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3250
Mailing Address - Country:US
Mailing Address - Phone:832-515-7272
Mailing Address - Fax:
Practice Address - Street 1:1406 STONEHOLLOW DR
Practice Address - Street 2:SUITE 600
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2295
Practice Address - Country:US
Practice Address - Phone:281-358-0502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant