Thompson, Jessica Marie

Thompson, Jessica Marie is an individual health care provider with primary practice located at 6811 Austin Center Blvd Ste 430 , Austin TX 78731-3157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Thompson, Jessica Marie can be contacted via phone (512) 324-2700.

Contact Information

Primary practice address
6811 Austin Center Blvd Ste 430 Austin TX 78731-3157
Phone: (512) 324-2700
Fax: (512) 324-2701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N4158 Texas

Profile Details

NPI number 1811942329
LBN Legal business name Thompson, Jessica Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 17th, 2013 - about 13 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 1811942329 NPPES
Texas MEDICAID 210936501
Texas Other 8CH495

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