Provider Demographics
NPI:1437155405
Name:THOMPSON, ROBERT KNOX III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KNOX
Last Name:THOMPSON
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 NORTH MAIN, SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1204
Mailing Address - Country:US
Mailing Address - Phone:210-237-4444
Mailing Address - Fax:210-828-5731
Practice Address - Street 1:18626 HARDY OAK BLVD.
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4219
Practice Address - Country:US
Practice Address - Phone:210-483-8822
Practice Address - Fax:210-483-8866
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG79532086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124725603Medicaid
TXD97791Medicare UPIN
TX81A608Medicare ID - Type Unspecified