Provider Demographics
NPI:1619324829
Name:THOMPKINS, ANITA REBECCA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:REBECCA
Last Name:THOMPKINS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 PINECROFT DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3899
Mailing Address - Country:US
Mailing Address - Phone:713-897-7221
Mailing Address - Fax:
Practice Address - Street 1:9180 PINECROFT DR STE 400
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3899
Practice Address - Country:US
Practice Address - Phone:713-897-7221
Practice Address - Fax:713-897-7235
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX749143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily