Individual
DR. JORDAN LESTER THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36000 DARNALL LOOP, CARL R. DARNALL, ARMY MED CTR,, FT HOOD, TX 76542
(540) 818-4685
Mailing address
5721 ESPLANADE DR, CORPUS CHRISTI, TX 78414-4138
(757) 344-8737
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0102202922
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
06/11/2010
Last updated
06/04/2018
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