Healthcare Provider Details

I. General information

NPI: 1265453617
Provider Name (Legal Business Name): JOHN R TOMPKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 COIT RD STE 104
PLANO TX
75075
US

IV. Provider business mailing address

1600 COIT RD STE 104
PLANO TX
75075-6171
US

V. Phone/Fax

Practice location:
  • Phone: 972-964-8500
  • Fax:
Mailing address:
  • Phone: 972-964-8500
  • Fax: 972-964-8556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberK8850
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberK8850
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: