MEDICARE: DR. TROY D 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
1	208200000X	Plastic Surgery Physician	M0948	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1235130493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TROY D THOMPSON MD

Provider Business Mailing Address
First Line	:	2300 ROUND ROCK AVE
Second Line	:	SUITE 200
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4026
Country	:	US
Telephone Number	:	512-341-2800
Fax Number	:	512-341-2801

Provider Business Practice Location Address
First Line	:	2300 ROUND ROCK AVE
Second Line	:	SUITE 200
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4026
Country	:	US
Telephone Number	:	512-341-2800
Fax Number	:	512-341-2801

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/04/2009

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