Organization
CHARLES D THOMPSON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D THOMPSON M.D. (OWNER)
(903) 454-1722
Entity
Organization
Contact information
Practice address
3900 JOE RAMSEY BLVD E, SUITE E, GREENVILLE, TX 75401-7770
(903) 454-1722
(903) 454-1750
Mailing address
3900 JOE RAMSEY BLVD E, SUITE E, GREENVILLE, TX 75401-7770
(903) 454-1722
(903) 454-1750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216349501
—
TX
Enumeration date
10/14/2010
Last updated
03/27/2012
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