Individual
DR. MATTHEW LUTES TOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1201, HOUSTON, TX 77030-2717
(713) 441-3372
(713) 797-0622
Mailing address
6550 FANNIN ST, SUITE 1201, HOUSTON, TX 77030-2717
(713) 441-3372
(713) 797-0622
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L2030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144038002
—
TX
05
—
144038004
—
TX
01
—
8FX438
BLUE CROSS BLUE SHIELD
TX
01
—
P00284940
MEDICARE RAILROAD
TX
Enumeration date
11/03/2005
Last updated
08/15/2016
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