Individual
KATHY ELAINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RN CPNP
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(469) 241-0580
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 241-0580
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
249897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042550602
—
TX
Enumeration date
09/27/2006
Last updated
10/17/2008
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