Provider Demographics
NPI:1154395705
Name:CAMPBELL, CHARLES H (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5540 SARATOGA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2953
Mailing Address - Country:US
Mailing Address - Phone:361-993-8510
Mailing Address - Fax:361-993-9184
Practice Address - Street 1:5540 SARATOGA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2953
Practice Address - Country:US
Practice Address - Phone:361-993-8510
Practice Address - Fax:361-993-9184
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2017-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD5362207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095068501Medicaid
TXC14126Medicare UPIN
TX0052BMMedicare ID - Type Unspecified