Basic Information
| Provider Information | |||||||||
| NPI: | 1932718673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAM MEDICAL ASSOCIATES PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6911 LAKE MEADOW LN | ||||||||
| Address2: | |||||||||
| City: | SACHSE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750485501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144325721 | ||||||||
| FaxNumber: | 9724993658 | ||||||||
| Practice Location | |||||||||
| Address1: | 6020 W PARKER RD STE 425 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750938174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726089966 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2020 | ||||||||
| LastUpdateDate: | 01/27/2021 | ||||||||
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| AuthorizedOfficialLastName: | HANGER | ||||||||
| AuthorizedOfficialFirstName: | KELLEY | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2144325721 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | N | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.