Provider Demographics
NPI:1922293356
Name:THOMPSON, FREDA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDA
Middle Name:DENISE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7205 ALMEDA RD # 300837
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2191
Mailing Address - Country:US
Mailing Address - Phone:601-813-9102
Mailing Address - Fax:346-867-3110
Practice Address - Street 1:8389 ALMEDA RD STE H1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-7105
Practice Address - Country:US
Practice Address - Phone:281-974-3571
Practice Address - Fax:346-867-3100
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS20805207V00000X
TXQ2079207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00772065Medicaid
LA1026051Medicaid
TX3469686-06Medicaid