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NPI Code Detail

MEDICARE: DR. CLACY KEY CAMEL D.O.

MEDICARE: DR. CLACY KEY CAMEL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianQ1577TX

General Provider Information

NPI Number : 1932412954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLACY KEY CAMEL D.O.
Provider Business Mailing Address
First Line : 1 HAVEN FOR HOPE WAY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-1266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 HAVEN FOR HOPE WAY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78207-1266
Country : US
Telephone Number : 210-220-2100
Fax Number : 210-261-3742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2010
Last Update Date : 04/16/2025

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