Most Relevant Information
Provider Data
| NPI Number: | 1003513102 |
| Provider Name: | JOHNNY THOMPSON CNIM |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0600X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2023 |
| Last Updated: | 02/09/2023 |
Provider Practice Location
2915 W BITTERS RD STE 201
SAN ANTONIO
TX
782482007
Practice Location Phone/Fax
| Phone: | 2105982800 |
| Fax: |
Provider Mailing Location
2915 W BITTERS RD STE 201
SAN ANTONIO
TX
782482007
Provider Mailing Phone/Fax
| Phone: | 2105982800 |
| Fax: |