Provider Demographics
NPI:1831390574
Name:CAMPO, MARCELA (MD)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:CAMPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARCELA
Other - Middle Name:
Other - Last Name:CAMPO-OSORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17198 ST LUKES WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8019
Mailing Address - Country:US
Mailing Address - Phone:936-266-4352
Mailing Address - Fax:936-273-0036
Practice Address - Street 1:17198 ST LUKES WAY STE 250
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8019
Practice Address - Country:US
Practice Address - Phone:936-266-4350
Practice Address - Fax:936-273-0036
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9170207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine