Provider Demographics
NPI:1477034064
Name:COLE-THOMPSON, CHRISTINE ALLISON (LVN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ALLISON
Last Name:COLE-THOMPSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25706 CHAPMAN FALLS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3881
Mailing Address - Country:US
Mailing Address - Phone:832-752-2156
Mailing Address - Fax:832-449-3188
Practice Address - Street 1:25706 CHAPMAN FALLS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3881
Practice Address - Country:US
Practice Address - Phone:832-752-2156
Practice Address - Fax:832-449-3188
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183844164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09204679OtherDRIVERS LICENSE