Individual
DR. DARRYL SHANE CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 SETON PKWY, SUITE 300, KYLE, TX 78640-6178
(512) 551-0846
(512) 828-8785
Mailing address
11211 TAYLOR DRAPER LN STE 202, AUSTIN, TX 78759-3971
(512) 674-9070
(512) 342-9949
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K2317
TX
2084V0102X
Vascular Neurology Physician
K2317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096306807
—
TX
Enumeration date
07/24/2006
Last updated
02/29/2012
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