Individual
ERIC SHANE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 528-3605
Mailing address
3753 WALNUT HILL DR, FLINT, TX 75762-6717
(903) 894-8622
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
660687
TX
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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