Individual
DR. CHARLES DOUGLAS CRUMPLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2308 E VILLA MARIA RD, SUITE 100, BRYAN, TX 77802-2549
(979) 776-0200
(979) 776-0400
Mailing address
2308 E VILLA MARIA RD, SUITE 100, BRYAN, TX 77802-2549
(979) 776-0200
(979) 776-0400
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M0046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739724
—
TX
05
—
1739732
—
TX
01
—
M0046
STATE LICENSE
TX
Enumeration date
09/12/2005
Last updated
07/05/2010
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