Provider Demographics
NPI:1093095408
Name:THOMPSON, OSCAR MENEES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:MENEES
Last Name:THOMPSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8655 JEFFERSON HWY
Mailing Address - Street 2:# 3
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2244
Mailing Address - Country:US
Mailing Address - Phone:225-926-0620
Mailing Address - Fax:225-925-9215
Practice Address - Street 1:8655 JEFFERSON HWY
Practice Address - Street 2:# 3
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2244
Practice Address - Country:US
Practice Address - Phone:225-926-0620
Practice Address - Fax:225-925-9215
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
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Provider Licenses
StateLicense IDTaxonomies
LAMD.006235207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine