Organization
ROBERT P. THOMPSON JR. MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ALEXANDER VANHOY CSA (BUSINESS MANAGER)
(979) 299-0011
Entity
Organization
Contact information
Practice address
201 OAK DR S, SUITE 108, LAKE JACKSON, TX 77566-5676
(979) 299-0011
(979) 299-0022
Mailing address
201 OAK DR S, SUITE 108, LAKE JACKSON, TX 77566-5676
(979) 299-0011
(979) 299-0022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H8862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00945G
MEDICARE ID
—
05
—
0970873-02
—
TX
Enumeration date
10/15/2010
Last updated
10/15/2010
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