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Individual

MS. DEBORAH ANN THOMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1117 W DE LA ROSA ST, DEL RIO, TX 78840-6224
(830) 768-4800
(830) 768-4844
Mailing address
2525 N VETERANS BLVD, P.O. BOX 1470, EAGLE PASS, TX 78852-3302
(830) 773-6963
(830) 757-5647

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03290
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111923201
TX
05
121077504
TX
05
121077505
TX
Enumeration date
03/09/2007
Last updated
07/23/2013
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