Provider Demographics
NPI:1588651640
Name:THOMPSON, ALAN (PT)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 HILLS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5232
Mailing Address - Country:US
Mailing Address - Phone:972-486-3115
Mailing Address - Fax:972-486-3115
Practice Address - Street 1:11661 PRESTON RD
Practice Address - Street 2:SUITE 173
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2745
Practice Address - Country:US
Practice Address - Phone:214-265-7200
Practice Address - Fax:214-265-7521
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1052751225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX802T45Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER