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Organization
THOMPSON HEALTHCARE PROVIDER SERVICES LLC
Active
Organization
THOMPSON HEALTHCARE PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL DONN THOMPSON PA-C (CHAIRMAN MANAGING MEMBER)
(830) 334-7289
Entity
Organization
Contact information
Practice address
16444 INTERSTATE HIGHWAY 35 SOUTH, MOORE, TX 78057
(830) 334-7289
Mailing address
PO BOX 76, MOORE, TX 78057-0076
(830) 334-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04256
TX
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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