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NPI Code Detail

MEDICARE: CANDICE MADONNA THOMPSON

MEDICARE: CANDICE MADONNA THOMPSON
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
1207V00000XObstetrics & Gynecology PhysicianW0309TX

General Provider Information

NPI Number : 1801473830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE MADONNA THOMPSON
Provider Business Mailing Address
First Line : 16651 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2345
Country : US
Telephone Number : 281-636-6358
Fax Number :
Provider Business Practice Location Address
First Line : 16651 SOUTHWEST FWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2345
Country : US
Telephone Number : 281-636-6358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 12/11/2025

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Directions to “ CANDICE MADONNA THOMPSON ” Practice Location

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