MEDICARE: ERIN THOMPSON RD

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	133V00000X	Registered Dietitian	DT06052	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8U3092	OTHER	TX	BLUE SHIELD

General Provider Information

NPI Number	:	1669435921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN THOMPSON RD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 E HOUSTON ST STE 550
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75702-8366
Country	:	US
Telephone Number	:	903-592-7393
Fax Number	:	903-597-7538

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	11/02/2017

Similar Medicare Providers

1336109925 — ABDULLAH MUBARAK MD
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-606-8718
Practice Fax: 903-606-1218

1285619205 — XIAOTUAN ZHAO MD
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-606-8718
Practice Fax:

1225013915 — WARREN ALLEN ABRAMEIT MD
Practice Location Address:

910 E HOUSTON ST , STE 550
TYLER, TX
75702-8366

Practice Phone: 903-592-7393
Practice Fax:

1568435394 — FENG LI MD
Practice Location Address:

910 E HOUSTON ST , STE 550
TYLER, TX
75702-8366

Practice Phone: 903-510-8718
Practice Fax:

1356391734 — TRINITY CLINIC
Practice Location Address:

910 E HOUSTON ST , STE 530
TYLER, TX
75702-8366

Practice Phone: 903-592-7393
Practice Fax:

1184660086 — JANNINE PURCELL
Practice Location Address:

910 E HOUSTON ST STE 550
TYLER, TX
75702-8366

Practice Phone: 903-510-8718
Practice Fax:

Directions to “ ERIN THOMPSON RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.