Individual
BILLY CRAIG THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2744 S BUCKNER BLVD, DALLAS, TX 75227-6903
(214) 388-9767
(214) 388-4753
Mailing address
2905 CHAMPLIN COURT, RICHARDSON, TX 75082-4094
(214) 388-9767
(214) 388-4753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2200
CO
152W00000X
Optometrist
2302
AR
152W00000X
Optometrist
Primary
3286TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019261902
—
TX
Enumeration date
08/25/2006
Last updated
10/18/2010
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