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Individual

MARCEL DWAINE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4914 BISSONNET ST STE 101, BELLAIRE, TX 77401
(713) 623-1414
(713) 623-1784
Mailing address
4914 BISSONNET ST STE 101, BELLAIRE, TX 77401-4047
(713) 623-1414
(713) 623-1784

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7220
TX
207VG0400X
Gynecology Physician
L7220
TX
208D00000X
General Practice Physician
L7220
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080462703
TX
05
353338203
TX
Enumeration date
12/13/2006
Last updated
02/20/2019
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