Individual
ELIZABETH SUE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 HARRIS LN, YANTIS, TX 75497-9730
(903) 383-2860
(903) 383-7975
Mailing address
229 HARRIS LN, YANTIS, TX 75497-9730
(903) 383-2860
(903) 383-7975
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
51264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991267-03
—
TX
01
—
1991267-04
CSN MEDICAID
TX
01
—
FTP017
MEDICARE PTAN
TX
01
—
P00733683
RAILROAD MEDICARE PTAN
TX
Enumeration date
11/03/2008
Last updated
01/12/2012
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