Individual
MRS. DOROTHY MAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4310 BOOTS DR, KILLEEN, TX 76549-2794
(254) 539-6101
Mailing address
4310 BOOTS DR, KILLEEN, TX 76549-2794
(254) 539-6101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04163
TX
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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