Doctor Name: | CARL S CAMPBELL |
NPI Number: | 1174956726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | DT82578 |
Business Practice Address: | 6301 Gaston Ave Suite 100 West Tower Dallas, TX - 752143922 |
Business Phone Number: | 2148273610 |
Business Fax Number: | 2148214017 |
Mailing Address: | 6301 Gaston Ave, Suite 100 West Tower DALLAS |
State: | TX |
Postal Code: | 752143922 |
Phone Number: | 2148273610 |
Fax Number: | 2148214017 |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT82578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |