Thompson, Buddy G

Thompson, Buddy G is an sole proprietor health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Thompson, Buddy G can be contacted via phone (972) 596-6800.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L3501 Texas

Profile Details

NPI number 1952359119
LBN Legal business name Thompson, Buddy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952359119 NPPES
Texas MEDICAID 168071202

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