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Individual

SCOTT S THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1308 PALUXY RD STE 203, GRANBURY, TX 76048-5689
(817) 579-7246
(817) 579-3916
Mailing address
1308 PALUXY RD STE 203, GRANBURY, TX 76048-5689
(817) 579-7246
(817) 579-3916

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N1472
TX
208D00000X
General Practice Physician
0101232625
VA
208VP0000X
Pain Medicine Physician
Primary
N1472
TX

Other

Enumeration date
02/01/2006
Last updated
09/15/2020
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