Individual
DR. MARK ERNEST THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 MADISON OAK DR, SUITE 240, SAN ANTONIO, TX 78258-4084
(210) 495-1900
(210) 650-5975
Mailing address
1355 CENTRAL PKWY S, SUITE 400, SAN ANTONIO, TX 78232-5055
(210) 590-6195
(210) 650-5993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K6361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045624601
—
TX
05
—
045624602
—
TX
Enumeration date
07/18/2006
Last updated
07/14/2020
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