Individual
CHAD M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301500360
MI
207Q00000X
Family Medicine Physician
55529
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2015
Last updated
08/24/2023
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