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Mark Thompson, DPM
Foot & Ankle Surgery Podiatrist in Lake Worth, Texas
NPI 1750733119

Mark Thompson is a Foot & Ankle Surgery Podiatrist based in Lake Worth, TX and is specialized in Foot & Ankle Surgery. Mark Thompson practices in Lake Worth, TX and has the professional credentials of DPM. The NPI Number for Mark Thompson is 1750733119 and holds a License No. 2398 (Texas).

The current practice location address for Mark Thompson is 6312 Azle Ave, Lake Worth, TX and can be reached out via phone at 817-238-8400 and via fax at 817-238-8401.

Location: 6312 Azle Ave, Lake Worth, TX, 76135-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750733119
Provider Name
Mark Thompson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6312 Azle Ave, Lake Worth, TX, 76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6312 Azle Ave
City
Lake Worth
State
Texas
Zip
76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
person
Provider Business Mailing Address Details
Address
6312 Azle Ave
City
Lake Worth
State
Texas
Zip
76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC006749 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2398 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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