Provider Demographics
NPI:1225204530
Name:DARNALL, CHRISTOPHER KEILTY (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KEILTY
Last Name:DARNALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-4225
Mailing Address - Country:US
Mailing Address - Phone:512-868-5055
Mailing Address - Fax:512-868-5077
Practice Address - Street 1:3121 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-4225
Practice Address - Country:US
Practice Address - Phone:512-868-5055
Practice Address - Fax:512-868-5077
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9242207R00000X, 207RS0012X, 2084N0400X, 2084N0600X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K8129Medicare PIN