Provider Demographics
NPI:1639178205
Name:THOMPSON, ANTHONY JUDE CALZADA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JUDE CALZADA
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:204 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4822
Mailing Address - Country:US
Mailing Address - Phone:361-664-0145
Mailing Address - Fax:361-664-2478
Practice Address - Street 1:415 S 6TH ST
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5518
Practice Address - Country:US
Practice Address - Phone:361-664-0145
Practice Address - Fax:361-664-2479
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH340073552083P0500X
TXN41562083X0100X, 207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX287629401Medicaid
TX287629401Medicaid
TXTXB143336Medicare PIN