Individual
MAYRA J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12201 MERIT DR STE 300, DALLAS, TX 75251-3139
(972) 528-5590
(972) 905-1688
Mailing address
12201 MERIT DR STE 300, DALLAS, TX 75251-3139
(972) 528-5590
(972) 905-1688
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G6186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114923904
—
TX
01
—
G6186
COMMERCIAL INSURANCE
TX
Enumeration date
04/28/2006
Last updated
07/25/2022
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