Provider Demographics
NPI:1982661195
Name:CAMPBELL, MORGAN SKILES (MD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:SKILES
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3301 S ALAMEDA ST
Mailing Address - Street 2:SUITE #501
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1882
Mailing Address - Country:US
Mailing Address - Phone:361-853-0867
Mailing Address - Fax:361-853-0887
Practice Address - Street 1:3301 S ALAMEDA ST
Practice Address - Street 2:SUITE #501
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1882
Practice Address - Country:US
Practice Address - Phone:361-853-0867
Practice Address - Fax:361-853-0887
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2019-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00020142174400000X
TXJ40192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG30561Medicare UPIN