Organization Active NPI

Darryl Camp MD, PA

  • Neurology Physician
  • Kyle, TX
National Provider Identifier
1801127535
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K2317 Issued in TX
Legal business name
DARRYL CAMP MD, PA
Practice address
5103 Kyle Center Dr
Suite 104
Kyle, TX 78640-7864
Phone
(512) 674-9002
Fax
(512) 342-9949
NPI assigned
Jan 20, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Darryl Camp, MD
Title
President
Phone
51232344900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K2317 TX Primary
Vascular Neurology Physician 2084V0102X K2317 TX

Addresses

Primary practice location

5103 Kyle Center Dr
Suite 104
Kyle, TX 78640-7864

Mailing address

11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3916
Phone (512) 324-4900

National Provider Directory

National Provider Directory

Locations

1201 W 38th St
#8
Austin, TX 78705

1201 W 38th St
Fl 8
Austin, TX 78705
Phone (512) 324-1085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1801127535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-324-4900",
            "fax_number": "512-504-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 KYLE CENTER DR",
            "address_2": "SUITE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786407864",
            "telephone_number": "512-674-9002",
            "fax_number": "512-342-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL CAMP MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "51232344900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K2317",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "K2317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.