Cody Bryan Du Vall, MD | |
505 South John Redditt Drive, Lufkin, TX 75904 | |
(936) 634-8311 | |
Not Available |
Full Name | Cody Bryan Du Vall |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 505 South John Redditt Drive, Lufkin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972555290 | NPI | - | NPPES |
103617002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | J6414 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Woodland Heights Medical Center | Lufkin, TX | Hospital |
Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Sabine County Hospital | Hemphill, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lufkin Radiology Associates | 8123098704 | 3 |
Entity Name | Lufkin Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780623371 PECOS PAC ID: 8123098704 Enrollment ID: O20040802000195 |
Mailing Address | Practice Location Address |
---|---|
Cody Bryan Du Vall, MD Po Box 1888, Greenville, TX 75403 Ph: (800) 945-2455 | Cody Bryan Du Vall, MD 505 South John Redditt Drive, Lufkin, TX 75904 Ph: (936) 634-8311 |
Dr. Sidney Creed Roberts, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-7466 Fax: 936-639-7472 | |
Dr. Troy T Coleman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-634-8111 | |
David Lynn Handley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 505 South John Redditt Drive, Lufkin, TX 75904 Phone: 936-634-8311 | |
Monica Lindsey Phillips, RDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 8541 Fm 2021, Lufkin, TX 75904 Phone: 936-404-2566 | |
Billy Gene Kistler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2304 Copeland St, Lufkin, TX 75904 Phone: 936-634-2828 | |
Dr. Purvak Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-634-8111 | |
Dr. Thomas B Mclaurin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1201 W Frank Ave, Lufkin, TX 75904 Phone: 936-634-8111 |