Provider Demographics
NPI:1710996079
Name:THOMPSON, BEN FRANK III (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:FRANK
Last Name:THOMPSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 122309 DEPT 2309
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-2309
Mailing Address - Country:US
Mailing Address - Phone:337-494-2921
Mailing Address - Fax:337-494-6523
Practice Address - Street 1:2770 3RD AVE STE 350
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-0404
Practice Address - Country:US
Practice Address - Phone:337-494-2750
Practice Address - Fax:337-494-2760
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-04-28
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Provider Licenses
StateLicense IDTaxonomies
LA013285207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1319872Medicaid
LAMD.7471OtherSTATE MEDICAL LICENSE
LA290012993OtherRAILROAD MEDICARE
LA290012993OtherRAILROAD MEDICARE
LAC67228Medicare UPIN