Active NPI
Maria Del Socorro Campo, PA
- Physician Assistant
- Dallas, TX
National Provider Identifier
1477722668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03652
- Practice address
- 817 W Jefferson Blvd
Dallas, TX 75208 - Phone
- (972) 757-4319
- NPI assigned
- Feb 21, 2008
- Last updated
- Sep 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03652 | TX | Primary |
Addresses
Primary practice location
817 W Jefferson Blvd
Dallas, TX 75208
Mailing address
924 Plantation Dr
Desoto, TX 75115-5262
Phone (972) 375-4319
Other practice location 1
3201 W Saner Ave
Suite 500
Dallas, TX 75233-1430
Phone (214) 331-0567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velez Pediatrics, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538265600000",
"number": "1477722668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 PLANTATION DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155262",
"telephone_number": "972-375-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W JEFFERSON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75208",
"telephone_number": "972-757-4319"
}
],
"practiceLocations": [
{
"address_1": "3201 W Saner Ave",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752331430",
"country_code": "US",
"telephone_number": "214-331-0567",
"fax_number": "214-337-7779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPO",
"first_name": "MARIA",
"middle_name": "DEL SOCORRO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2018-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.