MEDICARE: THE THOMPSON CENTER FOR PLASTIC SURGERY

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	2086S0122X	Plastic and Reconstructive Surgery Physician		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	:	1558458935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE THOMPSON CENTER FOR PLASTIC SURGERY

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	:	OWNER/PHYSICIAN
Name	:	DR. TROY D. THOMPSON
Credential	:	MD
Telephone Number	:	512-341-2800

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	03/04/2009

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Directions to “THE THOMPSON CENTER FOR PLASTIC SURGERY ” Practice Location

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