Alexis Campbell
Individual provider Active NPI Registered Nurse · Dickinson, TX
NPI 1508467804 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1508467804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R0136115 (OK)
- Practice address
- 10000 San Leon Dr Lot 241
Dickinson, TX 77539-2779 - Phone
- (580) 319-8580
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0136115 | OK | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R0136115 | OK | Yes |
Addresses
Primary practice location
10000 San Leon Dr Lot 241
Dickinson, TX 77539-2779
Mailing address
1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (713) 799-2200
Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.