Individual
BASTI J. THAMPOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7322 SOUTHWEST FWY, SUITE 160, HOUSTON, TX 77074-2010
(713) 532-6884
(713) 532-5756
Mailing address
705 S FRY RD STE 105, KATY, TX 77450-2252
(281) 500-8176
(281) 500-8178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171156602
—
TX
Enumeration date
08/05/2006
Last updated
08/04/2011
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