Provider Demographics
NPI:1912944521
Name:KAMPE, CARSTEN ERICH (PHD,MD,FACP)
Entity Type:Individual
Prefix:DR
First Name:CARSTEN
Middle Name:ERICH
Last Name:KAMPE
Suffix:
Gender:M
Credentials:PHD,MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:4101 JAMES CASEY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3325
Practice Address - Country:US
Practice Address - Phone:512-447-2202
Practice Address - Fax:512-447-3802
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7023207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138879504Medicaid
TX138879505Medicaid
TX138879501Medicaid
TX138879503Medicaid
TX8R1481OtherBLUE CROSS OF TX
TX138879502Medicaid
TX138879515Medicaid
TX138879507Medicaid
TX138879509OtherCSHCN
TX138879501Medicaid
TX87902KMedicare PIN
TX138879507Medicaid
TX138879509OtherCSHCN
TX138879515Medicaid
TX83W005Medicare PIN
F87415Medicare UPIN
TX138879504Medicaid