Thompson, Jess Luke
Thompson, Jess Luke is an individual health care provider with primary practice located at 11762 Jollyville Rd , Austin TX 78759-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Thompson, Jess Luke can be contacted via phone (512) 331-1222.Contact Information
Primary practice address
11762 Jollyville Rd
Austin TX 78759-3937
Phone: (512) 331-1222
Fax: (512) 331-0058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E6652 | Texas |
Profile Details
| NPI number | 1811989825 |
|---|---|
| LBN Legal business name | Thompson, Jess Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811989825 | NPPES |
| Texas | Other | E6652 | LICENSE NUMBER |
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