Organization
GAVEN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HOWARD THOMPSON M.D. (PRESIDENT)
(972) 722-0162
Entity
Organization
Contact information
Practice address
497 SAINT MICHAELS WAY, ROCKWALL, TX 75032-7250
(972) 722-0162
(972) 722-6216
Mailing address
497 SAINT MICHAELS WAY, ROCKWALL, TX 75032-7250
(972) 722-0162
(972) 722-6216
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
L0949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084LH
BC BS OF TX
TX
01
—
48643200
DEPT OF LABOR
TX
Enumeration date
10/10/2006
Last updated
11/09/2007
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