Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Prentice Crumpler, MD

Individual provider Interventional Cardiology Physician · NPI 1609986165

Charles Prentice Crumpler, MD is an Interventional Cardiology Physician in Longview, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

709 Hollybrook Dr Ste 2301
Longview, TX 75605-2411
Phone: (903) 757-5804
Fax: (903) 232-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence E6296 (TX)

Record details

NPI number1609986165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing addressPo Box 19036, Belfast, ME 04915-4085

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