Individual
BREVIN K THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 6211, LUBBOCK, TX 79430-6211
(806) 761-0559
Mailing address
13612 AVENUE V, LUBBOCK, TX 79423-4566
(575) 441-0595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
04/21/2025
Last updated
04/10/2026
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