Provider Demographics
| NPI: | 1144493891 |
|---|---|
| Name: | DAO CAMPI, HAISAR EDUARDO (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | HAISAR |
| Middle Name: | EDUARDO |
| Last Name: | DAO CAMPI |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 7703 FLOYD CURL DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN ANTONIO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78229-3901 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 210-450-9200 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4211 N JACKSON RD |
| Practice Address - Street 2: | |
| Practice Address - City: | MCALLEN |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78504-6907 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 956-365-4400 |
| Practice Address - Fax: | 956-365-4111 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2008-04-02 |
| Last Update Date: | 2024-05-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | Q8458 | 208C00000X, 207RG0100X, 208C00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | |
| No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 363451101 | Medicaid | |
| TX | 363451102 | Other | CSHCN |
| TX | 530469YK00 | Medicare UPIN |