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NPI Code Detail

MEDICARE: EVELYN THOMPSON NP

MEDICARE:   EVELYN  THOMPSON  NP
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
1251E00000XHome Health Agency
2251G00000XCommunity Based Hospice Care Agency
3363L00000XNurse Practitioner1041043TX

General Provider Information

NPI Number : 1689003493
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN THOMPSON NP
Provider Business Mailing Address
First Line : 24431 AVANTI DR
Second Line :
City : KATY
State : TX
Zip : 77493-4279
Country : US
Telephone Number : 832-744-9779
Fax Number :
Provider Business Practice Location Address
First Line : 10318 LAKE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-1874
Country : US
Telephone Number : 832-744-9779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2013
Last Update Date : 09/02/2025

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