Charles D Duvall
Medical Specialty
Professional ID
- NPI: 1144287657
- PECOS ID: 4385745074
- Enrollment ID: I20070725000237
- Credential(MD, DO, DPM):
- Medical School: Texas A M University College Of Medicine
- Medical School Graduation Year: 1994
Hospital Service
- Hospital CCN1: 450702
- Business Name (LBN)1: Longview Regional Medical Center
- Hospital CCN2: 450037
- Business Name (LBN)2: Good Shepherd Medical Center
- Hospital CCN3: 450210
- Business Name (LBN)3: Etmc Carthage
- Hospital CCN4: 450032
- Business Name (LBN)4: Good Shepherd Medical Center Marshall
Medical Practices
- Organization Name: East Texas Radiology Consultants
- Group Practice ID assigned by PECOS: 6305937194
- Number of Group Practice member: 6
Location
- Address1: 2901 N 4th St
- Address2:
- City: Longview
- State: Texas
- Zip Code: 75605
- Phone Number: (903)758-1818
Location
- Address1: 707 Hollybrook Dr
- Address2:
- City: Longview
- State: Texas
- Zip Code: 75605
- Phone Number: (903)757-6042
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):