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Individual

BUDDY GLENN THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3901 W 15TH ST, PLANO, TX 75075
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD STE 2400, PLANO, TX 75093-3716
(972) 867-7862
(972) 612-1623

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L3501
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168071202
TX
Enumeration date
05/04/2006
Last updated
12/22/2025
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