Provider Demographics
NPI:1659726685
Name:HUTCHINSON, DARVAL EC (DO)
Entity Type:Individual
Prefix:
First Name:DARVAL
Middle Name:EC
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:DERVAL
Other - Middle Name:EC
Other - Last Name:HUTCHINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 3.151
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-5800
Mailing Address - Fax:713-500-5805
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-1200
Practice Address - Country:US
Practice Address - Phone:855-988-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV3886207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program