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Individual

MR. TY THOMPSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1612 STRAY HORN DR, DESOTO, TX 75115-2773
(214) 537-3684
Mailing address
1612 STRAY HORN DR, DESOTO, TX 75115-2773
(214) 537-3684

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
TX
171WH0202X
Home Modifications Contractor
Primary
TX

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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