Provider Demographics
NPI:1932412954
Name:CAMEL, CLACY KEY (DO)
Entity Type:Individual
Prefix:DR
First Name:CLACY
Middle Name:KEY
Last Name:CAMEL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:12234 SHADOW CREEK PKWY
Mailing Address - Street 2:BUILDING 4 SUITE 104
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7330
Mailing Address - Country:US
Mailing Address - Phone:713-429-5325
Mailing Address - Fax:281-816-5931
Practice Address - Street 1:12234 SHADOW CREEK PKWY
Practice Address - Street 2:BUILDING 4 SUITE 104
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7330
Practice Address - Country:US
Practice Address - Phone:713-429-5325
Practice Address - Fax:281-816-5931
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2016-07-01
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Provider Licenses
StateLicense IDTaxonomies
MST-22922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry