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Individual

DESTINY DIANE YOURY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA-C

Contact information

Practice address
2906 BIRCH CREEK DR, KINGWOOD, TX 77339-1311
(281) 348-5508
Mailing address
2906 BIRCH CREEK DR, KINGWOOD, TX 77339-1311
(281) 348-5508

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
26-176
TX
246ZS0410X
Surgical Technologist
134730
TX

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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