Individual
DR. JESSICA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD STE 430, AUSTIN, TX 78731-3157
(512) 324-2700
(512) 324-2701
Mailing address
1601 RIO GRANDE ST STE 340, AUSTIN, TX 78701-1162
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N4158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210936501
—
TX
01
—
8CH495
BCBS
TX
Enumeration date
05/23/2006
Last updated
01/17/2013
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