Individual
THEODORA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 IRIS DR, MIDLOTHIAN, TX 76065-1609
(682) 597-2556
Mailing address
233 IRIS DR, MIDLOTHIAN, TX 76065-1609
(469) 333-1966
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143287
TX
363LF0000X
Family Nurse Practitioner
AP143287
TX
Other
Enumeration date
04/16/2020
Last updated
09/16/2025
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