Individual
MR. DONALD CAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1854 LAKEPOINTE DR, LEWISVILLE, TX 75057-6442
(972) 315-1401
Mailing address
PO BOX 292394, LEWISVILLE, TX 75029-2394
(972) 668-7460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071391-01
—
TX
01
—
DX62
BLUE CROSS / BLUE SHIELD
TX
Enumeration date
10/18/2006
Last updated
08/14/2008
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