Provider Demographics
NPI:1780604975
Name:CAMPAGNA, MARIA-CLAUDIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA-CLAUDIA
Middle Name:
Last Name:CAMPAGNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 GOLDSMITH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1118
Mailing Address - Country:US
Mailing Address - Phone:713-745-4516
Mailing Address - Fax:
Practice Address - Street 1:2205 GOLDSMITH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-745-4516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC145508207R00000X
TXK1793207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AG962OtherBCBS
TX048486703Medicaid
TXP00760127OtherRR MEDICARE
TX8AG962OtherBCBS
TX048486703Medicaid
TX8J7170Medicare PIN