6811 AUSTIN CENTER BLVD STE 300
AUSTIN, TX 78731-3295 US PECOS Enrolled
Overview
Molly T CamPA is a Dermatologist in the AUSTIN area and has over 13 years of experience. Molly T CamPA primary office location is at 6811 AUSTIN CENTER BLVD STE 300 and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of Texas Medical School At San Antonio and graduated 2013 The NPI number is 1053756940 and the information was updated approximately 5 years ago.
Molly T CamPA is affiliated with one medical group in the AUSTIN area, AUSTIN REGIONAL CLINIC PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| Q4912 | TX |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 418161201 | TX |
| MEDICAID | 418161202 | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Dermatologist - Taxonomy Code 207N00000X | TX | Y |
| Physician (General Practice) - Taxonomy Code 208D00000X | TX | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20201027001454 |
| PECOS Individual PAC ID: | 5193018984 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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