Mr Eric Thompson, FNP | |
1412 County Road 1010, Bluff Dale, TX 76433-6127 | |
(254) 396-2290 | |
Not Available |
Full Name | Mr Eric Thompson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1412 County Road 1010, Bluff Dale, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215700869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 696990 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1149310 (Texas) | Primary |
Entity Name | Gdn Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720554231 PECOS PAC ID: 7810236007 Enrollment ID: O20190306000814 |
Entity Name | Enhanced Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306594148 PECOS PAC ID: 2769877000 Enrollment ID: O20220726000190 |
Entity Name | Dynamic Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598541427 PECOS PAC ID: 0143674465 Enrollment ID: O20230920002667 |
Mailing Address | Practice Location Address |
---|---|
Mr Eric Thompson, FNP 1412 County Road 1010, Bluff Dale, TX 76433-6127 Ph: (254) 396-2290 | Mr Eric Thompson, FNP 1412 County Road 1010, Bluff Dale, TX 76433-6127 Ph: (254) 396-2290 |
Jennifer Jean Donwerth, ANP-BC, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 Autumn Valley, Bluff Dale, TX 76433 Phone: 254-728-3132 Fax: 254-728-3133 |