Individual
KYLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
768451
TX
390200000X
Student in an Organized Health Care Education/Training Program
768451
TX
Other
Enumeration date
12/24/2013
Last updated
04/27/2020
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