| Alicia Thompson Md Pllc | |
|
15005 Salem Creek Rd Edmond OK 73013-2455 | |
| (405) 657-4537 | |
| (405) 347-7617 |
| Full Name | Alicia Thompson Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 15005 Salem Creek Rd, Edmond, Oklahoma |
| Authorized Official Name and Position | Alicia D Thompson (OWNER) |
| Authorized Official Contact | 4056574537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Thompson Md Pllc 15005 Salem Creek Rd Edmond OK 73013-2455 Ph: (405) 657-4537 | Alicia Thompson Md Pllc 15005 Salem Creek Rd Edmond OK 73013-2455 Ph: (405) 657-4537 |
| NPI Number | 1043590722 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 02/07/2021 |
| Certification Date | 02/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043590722 | NPI | - | NPPES |
| 091050022 | Medicaid | MO | |
| 25776 | Other | OK | LISCENSE |
| 108326 | Other | MO | MEDICAL LISCENSE |
| 100125890A | Medicaid | OK |
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