Individual
JOYCE MAI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 WIGGINS PKWY, CHRISTIAN CARE CENTER SR. LIVING COMMUNITY, MESQUITE, TX 75150-7465
(972) 686-2400
Mailing address
5870 HIATUS RD, PE ADMIN-WEST REGION, TAMARAC, FL 33321-6424
(844) 453-0046
(865) 560-7089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K5017
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K5017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045509901
—
TX
05
—
045509903
—
TX
05
—
145509902
—
TX
01
—
80660S
BCBS
TX
01
—
8AK729
BCBS
TX
01
—
8X0053
BCBS
TX
Enumeration date
07/12/2006
Last updated
10/10/2018
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