Individual
J. DAVID THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 W STATE HIGHWAY 114, SUITE 110, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Mailing address
2020 W STATE HIGHWAY 114, SUITE 110, GRAPEVINE, TX 76051-8649
(817) 310-0810
(817) 812-3525
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19257
AL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
19257
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19257
MEDICAL LICENSE
AL
01
—
2000158344
MEDICAL LICENSE
MO
Enumeration date
09/24/2009
Last updated
09/24/2009
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