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NPI Code Detail

MEDICARE: DEYNA THOMPSON

MEDICARE: DEYNA THOMPSON
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
1183500000XPharmacist34893TX

General Provider Information

NPI Number : 1619209707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEYNA THOMPSON
Provider Business Mailing Address
First Line : 4009 MORAY DR
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6895 GRIGGS RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-4316
Country : US
Telephone Number : 713-921-2166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2010
Last Update Date : 03/31/2017

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Directions to “ DEYNA THOMPSON ” Practice Location

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