Individual
PATRICIA D. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4621
TX
208000000X
Pediatrics Physician
Primary
P4621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222955
RR MEDICARE PIN
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64281231
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/25/2006
Last updated
03/05/2013
Update your record
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