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NPI Code Detail

MEDICARE: CARLETON K THOMPSON M.D.

MEDICARE: CARLETON K THOMPSON 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
1207RG0100XGastroenterology PhysicianTXBD5231TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770592313
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLETON K THOMPSON M.D.
Provider Business Mailing Address
First Line : 1406 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3121
Provider Business Practice Location Address
First Line : 1406 N TEXANA ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-2021
Country : US
Telephone Number : 361-798-3671
Fax Number : 361-798-3121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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Directions to “ CARLETON K THOMPSON M.D.” Practice Location

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