Healthcare Provider Details

I. General information

NPI: 1437264199
Provider Name (Legal Business Name): DON MICHAEL THOMPSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HIGHWAY 71 E
SMITHVILLE TX
78957-1730
US

IV. Provider business mailing address

418 THUNDERBAY DR
GEORGETOWN TX
78626-6306
US

V. Phone/Fax

Practice location:
  • Phone: 512-237-3214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK2604
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberK2604
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: