| Doctor Name: | MR. DANNY LEE THOMPSON |
| NPI Number: | 1295776805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA00504 |
| Business Practice Address: | 538 Broadway Winnie, TX - 776657600 |
| Business Phone Number: | 4092969505 |
| Business Fax Number: | 4092966397 |
| Mailing Address: | Po Box 714, WINNIE |
| State: | TX |
| Postal Code: | 776650714 |
| Phone Number: | 4092969505 |
| Fax Number: | 4092966397 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 02/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |