Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 44457 | TX |
NPI | 1033535000 |
---|---|
Provider Name | Alastair Mark Thompson |
First Address | Houston, TX 77210-4439 |
Second Address | Houston, TX 77030-4202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2014 |
Last Update Date | 04/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
334297401 | (05) | TX |