Individual
DR. MELISSA LASOLA TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4333 N JOSEY LN, SUITE 207, CARROLLTON, TX 75010-4629
(972) 394-2971
(972) 492-1261
Mailing address
PO BOX 117506, CARROLLTON, TX 75011-7506
(972) 241-4208
(972) 241-7189
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J4287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046333301
—
TX
01
—
8808J0
BLUE CROSS BLUE SHIELD
TX
01
—
P00275460
RAILROAD MEDICARE
TX
Enumeration date
07/29/2006
Last updated
03/03/2016
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