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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1811942329 | NPPES |
| Texas | MEDICAID | 210936501 | |
| Texas | Other | 8CH495 |
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