Individual
DR. EVALINE JANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 354-7867
(806) 354-7865
Mailing address
3210 HAWTHORNE DR, AMARILLO, TX 79109-3416
(806) 354-7867
(806) 354-7865
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H1850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83114V
BLUE CROSS BLUE SHIELD #
—
Enumeration date
10/05/2006
Last updated
07/08/2007
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