| Dr Darryl Shane Camp, MD | |
|
1180 Seton Pkwy, Suite 300, Kyle, TX 78640-6178 | |
| (512) 551-0846 | |
| (512) 828-8785 |
| Full Name | Dr Darryl Shane Camp |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1180 Seton Pkwy, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366464745 | NPI | - | NPPES |
| 096306807 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | K2317 (Texas) | Primary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | K2317 (Texas) | Secondary |
| Entity Name | Hill Country Monitoring Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538351267 PECOS PAC ID: 4688754526 Enrollment ID: O20080104000545 |
| Entity Name | Tmh Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darryl Shane Camp, MD 11211 Taylor Draper Ln Ste 202, Austin, TX 78759-3971 Ph: (512) 674-9070 | Dr Darryl Shane Camp, MD 1180 Seton Pkwy, Suite 300, Kyle, TX 78640-6178 Ph: (512) 551-0846 |
Dr. Lotika Reena Misra, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5103 Kyle Center Dr, Suite 103, Kyle, TX 78640 Phone: 512-324-3540 | |
Dr. Rose Ingala, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2810 Dacy Lane, Kyle, TX 78640 Phone: 512-268-8900 Fax: 512-268-2250 |