MEDICARE: STEVEN HOWARD THOMPSON M.D.

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
1	207R00000X	Internal Medicine Physician	L0949	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8M6312	OTHER	TX	BC BS OF TX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	48643200	OTHER	TX	DEPT OF LABOR

General Provider Information

NPI Number	:	1205942497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN HOWARD THOMPSON M.D.

Provider Business Mailing Address
First Line	:	497 SAINT MICHAELS WAY
Second Line	:
City	:	ROCKWALL
State	:	TX
Zip	:	75032-7250
Country	:	US
Telephone Number	:	972-722-0162
Fax Number	:

Provider Business Practice Location Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	SUITE 300
City	:	DALLAS
State	:	TX
Zip	:	75243-3755
Country	:	US
Telephone Number	:	972-270-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	04/15/2026

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