Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 0021986 | TX |
NPI | 1003897505 |
---|---|
Provider Name | Dr. William Edward Thompson |
First Address | El Paso, TX 79912-7709 |
Second Address | El Paso, TX 79912-7709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 03/06/2016 |