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Courtney Brooke Campbell

Family Medicine

Allopathic & Osteopathic Physicians

1320 Hemphill St, Ft Worth, TX 76104-4714

PECOS Enrollment

This provider is enrolled in PECOS as COURTNEY CAMPBELL.

Based on the most recent information from CMS, provider Courtney Brooke Campbell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1730676925
Provider Type
Individual
Full Name
Campbell, Courtney Brooke
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/13/2018
Last Updated
9/19/2023

Contact Information

Practice Location

1320 Hemphill St, Ft Worth, TX 76104-4714

(956) 796-5000

Unlisted Fax

Mailing Location

1320 Hemphill St Ste 350, Ft Worth, TX 76104-4720

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U6695 Texas

Courtney Brooke Campbell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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