Individual
DR. CLIVE J THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3147 BOCA CHICA BLVD, BROWNSVILLE, TX 78521-3567
(956) 544-2607
(956) 544-2608
Mailing address
1804 S 10TH ST, MCALLEN, TX 78503-5402
(956) 687-2875
(956) 687-3128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2219
TN
152W00000X
Optometrist
Primary
6663T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944381
—
TN
01
—
8F21175
MEDICARE
TX
Enumeration date
12/26/2006
Last updated
10/22/2012
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