Provider Demographics
NPI:1780813253
Name:KAREN M. CAMPION, D.C., P.A.
Entity type:Organization
Organization Name:KAREN M. CAMPION, D.C., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:979-693-6500
Mailing Address - Street 1:3120 TEXAS AVE S
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5050
Mailing Address - Country:US
Mailing Address - Phone:979-693-6500
Mailing Address - Fax:979-693-0091
Practice Address - Street 1:3120 TEXAS AVE S
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5050
Practice Address - Country:US
Practice Address - Phone:979-693-6500
Practice Address - Fax:979-693-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5648Medicare PIN