MEDICARE: JAMES P THOMPSON PH.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	103TC0700X	Clinical Psychologist	2-2452	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	:	1568461515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES P THOMPSON PH.D

Provider Business Mailing Address
First Line	:	2600 GESSNER STE 286
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3898
Country	:	US
Telephone Number	:	713-690-2955
Fax Number	:	713-690-2853

Provider Business Practice Location Address
First Line	:	2600 GESSNER STE 286
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3898
Country	:	US
Telephone Number	:	713-690-2955
Fax Number	:	713-690-2853

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	05/13/2019

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