Provider Demographics
NPI:1598153397
Name:HAMPTON, THOMAS EARL JR (DPT)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EARL
Last Name:HAMPTON
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14723 T C JESTER BLVD
Mailing Address - Street 2:APT 722
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2148
Mailing Address - Country:US
Mailing Address - Phone:662-605-0489
Mailing Address - Fax:
Practice Address - Street 1:14723 T C JESTER BLVD
Practice Address - Street 2:APT 722
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2148
Practice Address - Country:US
Practice Address - Phone:662-605-0489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1253371225100000X
MSPT4758225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist