Healthcare Provider Details

I. General information

NPI: 1841124187
Provider Name (Legal Business Name): CAMRYN NACOLE BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 MAIN ST
BUDA TX
78610-3393
US

IV. Provider business mailing address

4300 CROMWELL DR APT 5210
KYLE TX
78640-6498
US

V. Phone/Fax

Practice location:
  • Phone: 512-295-2564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number373720
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: