Crumpler, Charles Douglas
Crumpler, Charles Douglas is an sole proprietor health care provider with primary practice located at 2308 E Villa Maria Rd Suite 100, Bryan TX 77802-2549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Crumpler, Charles Douglas can be contacted via phone (979) 776-0200.Contact Information
Primary practice address
2308 E Villa Maria Rd Suite 100
Bryan TX 77802-2549
Phone: (979) 776-0200
Fax: (979) 776-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | M0046 | Texas |
Profile Details
| NPI number | 1801881230 |
|---|---|
| LBN Legal business name | Crumpler, Charles Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jul 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801881230 | NPPES |
| Texas | MEDICAID | 1739732 | |
| Texas | Other | M0046 | |
| Texas | MEDICAID | 1739724 |
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