Organization
JOHN THOMPSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HOWARD THOMPSON MD (PRESIDENT)
(817) 594-5496
Entity
Organization
Contact information
Practice address
707 STATE ST, WEATHERFORD, TX 76086-5777
(817) 594-5496
(817) 594-5496
Mailing address
707 STATE ST, WEATHERFORD, TX 76086-5777
(817) 594-5496
(817) 594-5496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D8459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031847901
—
TX
Enumeration date
11/17/2010
Last updated
11/17/2010
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