Provider Demographics
NPI:1821178161
Name:THOMPSON, MATTHEW M (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:SUITE 1.100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-4523
Mailing Address - Fax:713-338-5500
Practice Address - Street 1:2000 NORTH LOOP W
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8124
Practice Address - Country:US
Practice Address - Phone:713-812-7173
Practice Address - Fax:713-812-7163
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK72202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH70397Medicare UPIN
TX8F10136Medicare PIN