MEDICARE: RAEA L THOMPSON NP

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	363LA2100X	Acute Care Nurse Practitioner	1199815	TX
2	363L00000X	Nurse Practitioner	1199815	TX

General Provider Information

NPI Number	:	1265224638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAEA L THOMPSON NP

Provider Business Mailing Address
First Line	:	18639 BRISTOL POINT LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-8257
Country	:	US
Telephone Number	:	210-202-9538
Fax Number	:

Provider Business Practice Location Address
First Line	:	18639 BRISTOL POINT LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77377-8257
Country	:	US
Telephone Number	:	210-202-9538
Fax Number	:

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

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	03/17/2026

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Directions to “ RAEA L THOMPSON NP” Practice Location

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