Individual
DR. PEYTON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11416 RUNNEL RIDGE RD, MANOR, TX 78653-3874
(512) 760-0666
(866) 265-1725
Mailing address
11416 RUNNEL RIDGE RD, MANOR, TX 78653-3874
(512) 760-0666
(866) 265-1725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D9687
TX
2084P0800X
Psychiatry Physician
D9687
TX
208D00000X
General Practice Physician
Primary
D9687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0027883
DPS
TX
Enumeration date
05/31/2006
Last updated
03/07/2023
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