Storm, Scott Camburn

Storm, Scott Camburn is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Storm, Scott Camburn can be contacted via phone (210) 539-9582.

Contact Information

Primary practice address
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 33327 Texas

Profile Details

NPI number 1013002336
LBN Legal business name Storm, Scott Camburn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 30th, 2023 - about last year

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 1013002336 NPPES
Texas MEDICAID 2114-03502
Texas Other 11766955

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