Provider Demographics
NPI:1174585871
Name:CAMPBELL-FOX, MARY (DO)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CAMPBELL-FOX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57845
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7845
Mailing Address - Country:US
Mailing Address - Phone:281-484-5587
Mailing Address - Fax:281-506-1010
Practice Address - Street 1:10950 RESOURCE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6134
Practice Address - Country:US
Practice Address - Phone:281-484-5587
Practice Address - Fax:281-506-1010
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87340KMedicare ID - Type Unspecified