Thompson, Jess Luke

Thompson, Jess Luke is an individual health care provider with primary practice located at 11762 Jollyville Rd , Austin TX 78759-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Thompson, Jess Luke can be contacted via phone (512) 331-1222.

Contact Information

Primary practice address
11762 Jollyville Rd Austin TX 78759-3937
Phone: (512) 331-1222
Fax: (512) 331-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E6652 Texas

Profile Details

NPI number 1811989825
LBN Legal business name Thompson, Jess Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811989825 NPPES
Texas Other E6652 LICENSE NUMBER

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