Provider Demographics
NPI:1538956784
Name:CAMPOS OSUNA, TZITLALIC GUADALUPE
Entity type:Individual
Prefix:
First Name:TZITLALIC
Middle Name:GUADALUPE
Last Name:CAMPOS OSUNA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 CARTER
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:TX
Mailing Address - Zip Code:75459-4706
Mailing Address - Country:US
Mailing Address - Phone:469-758-7730
Mailing Address - Fax:
Practice Address - Street 1:315 CARTER
Practice Address - Street 2:
Practice Address - City:HOWE
Practice Address - State:TX
Practice Address - Zip Code:75459-4706
Practice Address - Country:US
Practice Address - Phone:469-758-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician