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NPI Code Detail

MEDICARE: DR. JON STEPHEN TOMPKINS D.O.

MEDICARE: DR. JON STEPHEN TOMPKINS D.O.
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
1207R00000XInternal Medicine PhysicianD-4869TX

General Provider Information

NPI Number : 1619960168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON STEPHEN TOMPKINS D.O.
Provider Business Mailing Address
First Line : 2001 N JEFFERSON AVE
Second Line : SUITE 204
City : MT PLEASANT
State : TX
Zip : 75455-2371
Country : US
Telephone Number : 903-577-7003
Fax Number : 903-577-3933
Provider Business Practice Location Address
First Line : 2001 N JEFFERSON AVE
Second Line : SUITE 204
City : MT PLEASANT
State : TX
Zip : 75455-2371
Country : US
Telephone Number : 903-577-7003
Fax Number : 903-577-3933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 07/08/2007

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