Most Relevant Information
Provider Data
| NPI Number: | 1003249558 |
| Provider Name: | SALLY A THOMPSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 702394 |
Most Important Dates
| Enumeration Date: | 08/19/2013 |
| Last Updated: | 04/24/2014 |
Provider Practice Location
3515 RICHMOND RD
TEXARKANA
TX
755030711
Practice Location Phone/Fax
| Phone: | 9037919355 |
| Fax: | 9038317273 |
Provider Mailing Location
3515 RICHMOND RD
TEXARKANA
TX
755030711
Provider Mailing Phone/Fax
| Phone: | 9037919355 |
| Fax: | 9038317273 |