DARRYL CAMP MD, PA
Psychiatric at Kyle Center Dr, Uhland, TX

License number
Texas K2317
Category
Neurology
Type
Neurology
License number
Texas K2317
Category
Psychiatric
Type
Vascular Neurology
Owner
Name: DR. DARRYL CAMP MD
Title: PRESIDENT
Phone: (512) 323-4490
Address
Address 2
5103 Kyle Center Dr SUITE 104, Uhland, TX 78640
11211 Taylor Draper Ln SUITE 202, Austin, TX 78759
National Provider ID: 1801127535
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DARRYL CAMP MD, PA

Austin, TX  -  Dallas, TX

Registration:
Dec 18, 2009
Addresses:
4131 Spicewood Spg Rd STE B1, Austin, TX 78759 (Mailing)
5919 Greenville Ave, Dallas, TX 75206
State ID:
0801207760
Business type:
Professional Association
Director , Member , President:
Darryl L. Camp (Director , Member , President)
Agent:
John M Vail,4131 Spicewood Spg Rd STE B-1, Austin, TX 78759 (Physical)
TIN:
32040870548

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