Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | K1699 | TX |
Y | 207SG0201X | Clinical Genetics (M.D.) | K1699 | TX |
N | 2080P0006X | Developmental - Behavioral Pediatrician | K1699 | TX |
NPI | 1255329694 |
---|---|
Provider Name | Dr. Katherine H Thompson |
First Address | Bellaire, TX 77401-2417 |
Second Address | Bellaire, TX 77401-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020788801 | (05) | TX |
020788802 | (05) | TX |
058886501 | (05) | TX |
058886503 | (05) | TX |
058886504 | (05) | TX |
058886505 | (05) | TX |
G37742 | (02) | TX |