45D0713937 CLIA NUMBER - CARLOS CAMPOS MD MPH

Laboratory Demographics

CLIA Number: 45D0713937

Facility Name: CARLOS CAMPOS MD MPH

Facility Address:
189 EAST AUSTIN SUITE 102
NEW BRAUNFELS, TX
ZIP 78130
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Facility Phone Number: 210 629-8161

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376730747

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0713937
LAB Type	Physician Office
Facility Name	CARLOS CAMPOS MD MPH
Street	189 EAST AUSTIN SUITE 102
City	NEW BRAUNFELS
State	TX
ZIP	78130
Phone	210 629-8161
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024