MEDICARE: ROBERT LEON THOMPSON JR. 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	L6671	TX
2	207RN0300X	Nephrology Physician	L6671	TX

General Provider Information

NPI Number	:	1346211083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LEON THOMPSON JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 682614
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77268-2614
Country	:	US
Telephone Number	:	832-729-2869
Fax Number	:	281-580-4984

Provider Business Practice Location Address
First Line	:	9725 HOMESTEAD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-4403
Country	:	US
Telephone Number	:	832-729-2869
Fax Number	:	281-580-4984

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	07/25/2021

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