Individual
EMILY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1305 W MAGNOLIA AVE, SUITE B, FT WORTH, TX 76104-4351
(817) 522-1530
(817) 523-8667
Mailing address
1305 W MAGNOLIA AVE, SUITE B, FT WORTH, TX 76104-4351
(817) 522-1530
(817) 523-8667
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP132813
TX
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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