Provider Demographics
NPI:1942207436
Name:TOMPKINS, KENT E (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:E
Last Name:TOMPKINS
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 1:13725 NORTHWEST BLVD
Mailing Address - Street 2:STE. 15
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5127
Mailing Address - Country:US
Mailing Address - Phone:361-767-6100
Mailing Address - Fax:361-767-6101
Practice Address - Street 1:13725 NORTHWEST BLVD
Practice Address - Street 2:STE. 15
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5127
Practice Address - Country:US
Practice Address - Phone:361-767-6100
Practice Address - Fax:361-767-6101
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9581207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K68ROtherBCBS-TX
TX742675152OtherTAX ID
TX137935614Medicaid
TX742675152OtherTAX ID
TXF33135Medicare UPIN