Individual
MRS. HEATHER T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17600 INTERSTATE 45 S, THE WOODLANDS, TX 77384-5148
(936) 267-5000
Mailing address
8128 TRANQUIL LAKE WAY, CONROE, TX 77385-1124
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
696202
TX
363L00000X
Nurse Practitioner
Primary
696202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212312709
—
TX
Enumeration date
01/19/2010
Last updated
09/21/2020
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