Camp, Darryl Shane

Camp, Darryl Shane is an sole proprietor health care provider with primary practice located at 1180 Seton Pkwy Suite 300, Kyle TX 78640-6178. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Camp, Darryl Shane can be contacted via phone (512) 551-0846.

Contact Information

Primary practice address
1180 Seton Pkwy Suite 300 Kyle TX 78640-6178
Phone: (512) 551-0846
Fax: (512) 828-8785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X K2317 Texas
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X K2317 Texas

Profile Details

NPI number 1366464745
LBN Legal business name Camp, Darryl Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Feb 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366464745 NPPES
Texas MEDICAID 096306807

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