Thompson, Paul Merrell
Thompson, Paul Merrell is an sole proprietor health care provider with primary practice located at 3309 Winthrop Ave Suite 100 B, Fort Worth TX 76116-5614. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thompson, Paul Merrell can be contacted via phone (817) 796-5889.Contact Information
Primary practice address
3309 Winthrop Ave Suite 100 B
Fort Worth TX 76116-5614
Phone: (817) 796-5889
Fax: (817) 585-4834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 14628 | Texas |
Profile Details
| NPI number | 1306836341 |
|---|---|
| LBN Legal business name | Thompson, Paul Merrell |
| Credentials | L.P.C. (D.MIN.) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Mar 29th, 2024 - about last year |
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 | 1306836341 | NPPES |
| Texas | MEDICAID | 028101602 |
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