Provider Demographics
NPI:1912909847
Name:CAMPBELL, JOSLYN L (MD)
Entity type:Individual
Prefix:DR
First Name:JOSLYN
Middle Name:L
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 1824
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2735
Mailing Address - Country:US
Mailing Address - Phone:713-790-9080
Mailing Address - Fax:713-790-0766
Practice Address - Street 1:6560 FANNIN ST STE 1824
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2735
Practice Address - Country:US
Practice Address - Phone:713-790-9080
Practice Address - Fax:713-790-0766
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0064207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX390007906OtherMEDICARE RAILROAD
TX8637K7OtherBLUE CROSS BLUE SHIELD
TX143154601Medicaid
TX8637K7Medicare PIN
TX8637K7OtherBLUE CROSS BLUE SHIELD