MEDICARE: DR. THOMAS EARL HAMPTON JR. DPT

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	225100000X	Physical Therapist	1253371	TX
2	225100000X	Physical Therapist	PT4758	MS

General Provider Information

NPI Number	:	1598153397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EARL HAMPTON JR. DPT

Provider Business Mailing Address
First Line	:	14723 T C JESTER BLVD
Second Line	:	APT 722
City	:	HOUSTON
State	:	TX
Zip	:	77068-2148
Country	:	US
Telephone Number	:	662-605-0489
Fax Number	:

Provider Business Practice Location Address
First Line	:	14723 T C JESTER BLVD
Second Line	:	APT 722
City	:	HOUSTON
State	:	TX
Zip	:	77068-2148
Country	:	US
Telephone Number	:	662-605-0489
Fax Number	:

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

Provider Enumeration Date	:	12/31/2014
Last Update Date	:	12/31/2014

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