Organization
THOMPSON ORTHOPEDIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD R THOMPSON JR. M.D. (PRESIDENT)
(979) 297-3004
Entity
Organization
Contact information
Practice address
201 OAK DR S, SUITE 104, LAKE JACKSON, TX 77566-5676
(979) 297-3004
(979) 299-1301
Mailing address
201 OAK DR S, SUITE 104, LAKE JACKSON, TX 77566-5676
(979) 297-3004
(979) 299-1301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D7333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8385
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/11/2008
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