Individual
CLINTON EDWARD DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8110
Mailing address
916 TURNBERRY LN, SOUTHLAKE, TX 76092-4214
(817) 424-4073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G2597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128365701
CSHCN
TX
05
—
128365702
—
TX
01
—
82244F
BCBS
TX
Enumeration date
10/07/2005
Last updated
12/30/2013
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