Organization Active NPI

Campbell Integrative Medicine, PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1346700747
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAMPBELL INTEGRATIVE MEDICINE, PLLC
Practice address
1012 Campbell Rd # B
Houston, TX 77055-7408
Phone
(713) 468-3155
Fax
(281) 809-9881
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suhyun An, FNP
Title
Owner
Phone
(713) 468-3155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X

Addresses

Primary practice location

1012 Campbell Rd # B
Houston, TX 77055-7408

Mailing address

1012 Campbell Rd # B
Houston, TX 77055-7408
Phone (713) 468-3155

Other names 1

  • Campbell Integrative Medicine, PLLC Other name

National Provider Directory

National Provider Directory

Locations

1012 Campbell Rd
#B
Houston, TX 77055
Phone (713) 468-3155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1346700747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CAMPBELL RD # B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557408",
            "telephone_number": "713-468-3155",
            "fax_number": "281-809-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CAMPBELL RD # B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557408",
            "telephone_number": "713-468-3155",
            "fax_number": "281-809-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "SUHYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-468-3155",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Integrative Medicine, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.