Fallen Tree Corp

NPI #1841467727 in Manor, Texas

Provider Information

NPI Number: 1841467727
Entity Type: Organization
Organization Name: Fallen Tree Corp
Primary Specialty: General Practice
Enumeration Date: May 10, 2008
Last Updated: Sep 6, 2023

Practice Location

Address: 11416 RUNNEL RIDGE RD
City: Manor
State: Texas
ZIP Code: 78653-3874
Phone: (512) 760-0666

Authorized Official

Name: DR. PEYTON THOMPSON, MD
Title: OWNER, PRESIDENT
Phone: (512) 760-0666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
General Practice	208D00000X	Primary

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