Provider Demographics
NPI:1780247387
Name:THOMPSON, GINGER MARIE (MD)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:MARIE
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 1:13604 MIDWAY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4305
Mailing Address - Country:US
Mailing Address - Phone:972-241-2564
Mailing Address - Fax:972-241-1939
Practice Address - Street 1:13604 MIDWAY RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4305
Practice Address - Country:US
Practice Address - Phone:972-241-2564
Practice Address - Fax:972-241-1939
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU4358207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology