Thompson Healthcare Provider Services LLC

NPI #1831258516 in Moore, Texas

Provider Information

NPI Number: 1831258516
Entity Type: Organization
Organization Name: Thompson Healthcare Provider Services LLC
Primary Specialty: Physician Assistant
Enumeration Date: Dec 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 16444 INTERSTATE HIGHWAY 35 SOUTH
City: Moore
State: Texas
ZIP Code: 78057
Phone: (830) 334-7289

Authorized Official

Name: MR. WILL DONN THOMPSON, PA-C
Title: CHAIRMAN MANAGING MEMBER
Phone: (830) 334-7289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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