Basic Information
Provider Information
NPI: 1043308216
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAMP
FirstName: ERNEST
MiddleName: RAMSAY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7200 CAMBRIDGE ST FL 7
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304202
CountryCode: US
TelephoneNumber: 7137984321
FaxNumber:  
Practice Location
Address1: 7200 CAMBRIDGE ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304202
CountryCode: US
TelephoneNumber: 7137984321
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/11/2006
LastUpdateDate: 09/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086X0206X29876SCN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
2086X0206X47178TXN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
2086X0206XM1557TXY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

ID Information
IDTypeStateIssuerDescription
17633850105SC MEDICAID


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