Provider Demographics
NPI:1780971697
Name:ANDREA L. CAMPAIGNE MD PLLC
Entity type:Organization
Organization Name:ANDREA L. CAMPAIGNE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAMPAIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-994-2662
Mailing Address - Street 1:12174 N MOPAC EXPY
Mailing Address - Street 2:STE. A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2910
Mailing Address - Country:US
Mailing Address - Phone:512-994-2662
Mailing Address - Fax:512-994-2660
Practice Address - Street 1:12174 N MOPAC EXPY
Practice Address - Street 2:STE. A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2910
Practice Address - Country:US
Practice Address - Phone:512-994-2662
Practice Address - Fax:512-994-2660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty