Individual provider · Type 1 NPI

Shannon O. Campbell, PA-C

Medical Physician Assistant · Austin, TX

NPI number 1629308580 Active

Practice location

2499 S Capital Of Texas Hwy, Building B, Suite 100
Austin, TX 78746-7762

Fax (512) 328-3547

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01960 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1629308580

Shannon O. Campbell, PA-C's National Provider Identifier is 1629308580, issued on Dec 28, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Austin, TX. The record was last updated on Dec 28, 2009.