Individual
CHARLES D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST FL 3, LUBBOCK, TX 79430-0002
(806) 743-2340
(806) 743-3121
Mailing address
3601 4TH ST FL 3, LUBBOCK, TX 79430-5865
(806) 743-2340
(806) 743-3121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027WA
BLUE CROSS
TX
05
—
100177803
—
TX
01
—
2174020
CIGNA
TX
Enumeration date
10/18/2005
Last updated
03/30/2021
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