Individual
DR. JOHN Q. THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E5450
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
E5450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010076-04
—
TX
01
—
1010076-05
CSHCN
TX
01
—
370017471
RR/MEDICARE
TX
01
—
807441
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
04/06/2015
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