Organization
DONALD CAMILLO CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD CAMILLO CRNA (PRESIDENT)
(972) 668-7460
Entity
Organization
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
Enumeration date
08/23/2010
Last updated
12/29/2010
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