DR. DARRYL SHANE CAMP M.D. NPI 1366464745

NPI Information

  • NPI: 1366464745
  • Provider Name: DR. DARRYL SHANE CAMP, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1180 SETON PKWY
    SUITE 300
    KYLE, TX
    ZIP 78640
  • Phone: (512) 551-0846

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NPI Details

DR. Darryl Shane Camp, M.D. is a neurology psychiatry neurology in Kyle, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Darryl Shane Camp, M.D. NPI is 1366464745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1180 SETON PKWY
SUITE 300
KYLE, TX
ZIP 78640-178
Phone: (512) 551-0846
Fax: (512) 828-8785

The NPI 1366464745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 2/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084V0102XPsychiatry & NeurologyVascular NeurologyK2317TEXASNo
22084N0400XPsychiatry & NeurologyNeurologyK2317TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB101147MEDICARE PINTEXAS
2096306807MEDICAIDTEXAS
3TXB101009MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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