Active NPI
LM Duvall Enterprises
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Magnolia, TX
National Provider Identifier
1104284959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- P6157
- Legal business name
- LM DUVALL ENTERPRISES
- Practice address
- 41922 N Mill Dr
Magnolia, TX 77354-1850 - Phone
- (318) 218-1013
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lucas Maier Duvall, MD
- Title
- President
- Phone
- (318) 218-1013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | P6157 | TX | Primary |
Addresses
Primary practice location
41922 N Mill Dr
Magnolia, TX 77354-1850
Mailing address
41922 N Mill Dr
Magnolia, TX 77354-1850
Phone (318) 218-1013
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1104284959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41922 N MILL DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773541850",
"telephone_number": "318-218-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41922 N MILL DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773541850",
"telephone_number": "318-218-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LM DUVALL ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "DUVALL",
"authorized_official_first_name": "LUCAS",
"authorized_official_middle_name": "MAIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-218-1013",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "P6157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.