Provider Demographics
NPI:1275851719
Name:THOMPSON, JUSTIN H (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:H
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8390 LYNDON B JOHNSON FWY STE 500
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1188
Mailing Address - Country:US
Mailing Address - Phone:469-214-5735
Mailing Address - Fax:512-237-7336
Practice Address - Street 1:8390 LYNDON B JOHNSON FWY STE 500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1188
Practice Address - Country:US
Practice Address - Phone:469-214-5735
Practice Address - Fax:512-237-7336
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP38262081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine