MEDICARE: IAN MURCHIE THOMPSON III M.D.

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	208800000X	Urology Physician	P3085	TX

General Provider Information

NPI Number	:	1720271265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN MURCHIE THOMPSON III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3046
Second Line	:
City	:	MALVERN
State	:	PA
Zip	:	19355-0746
Country	:	US
Telephone Number	:	956-523-3090
Fax Number	:	956-523-3083

Provider Business Practice Location Address
First Line	:	10710 MCPHERSON ROAD
Second Line	:	SUITE 104
City	:	LAREDO
State	:	TX
Zip	:	78045-6363
Country	:	US
Telephone Number	:	956-523-3090
Fax Number	:	956-523-3083

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

Provider Enumeration Date	:	08/18/2007
Last Update Date	:	04/22/2026

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