| Doctor Name: | MOLLY T CAMPA |
| NPI Number: | 1053756940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | Q4912 |
| Business Practice Address: | 3900 Junius St Suite 125 Dallas, TX - 752461615 |
| Business Phone Number: | 2148206183 |
| Business Fax Number: | |
| Mailing Address: | 3900 Junius St, Suite 125 DALLAS |
| State: | TX |
| Postal Code: | 752461615 |
| Phone Number: | 2148206183 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | Q4912 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |