Provider Demographics
NPI:1659720779
Name:THOMPSON, HYMAN DEMARCUS (MD)
Entity Type:Individual
Prefix:
First Name:HYMAN
Middle Name:DEMARCUS
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8711 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5419
Mailing Address - Country:US
Mailing Address - Phone:210-585-4274
Mailing Address - Fax:210-585-4274
Practice Address - Street 1:5000 BAPTIST HEALTH DR STE 102
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1194
Practice Address - Country:US
Practice Address - Phone:210-585-4274
Practice Address - Fax:210-566-1021
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.069152207Q00000X
TXS0812207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine