Individual
SANFORD R THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
05
—
145702001
—
TX
01
—
202900086
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
05/04/2010
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