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NPI Code Detail

MEDICARE: WILLIAM THOMPSON MD

MEDICARE: WILLIAM THOMPSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianL2029TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215986195
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM THOMPSON MD
Provider Business Mailing Address
First Line : 4777 US HIGHWAY 259
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7668
Country : US
Telephone Number : 800-318-5578
Fax Number : 903-663-9960
Provider Business Practice Location Address
First Line : 7502 GREENVILLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75231-3802
Country : US
Telephone Number : 800-318-5578
Fax Number : 903-663-9960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/14/2015

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