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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366464745 | NPPES |
Texas | MEDICAID | 096306807 |
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