Individual
DAVID THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 S ROYALL ST, PALESTINE, TX 75801-5021
(903) 729-8884
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G0202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131595401
—
TX
Enumeration date
06/09/2005
Last updated
09/27/2018
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