| Doctor Name: | SCOTT S THOMPSON |
| NPI Number: | 1407827918 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101232625 |
| Business Practice Address: | 1308 E Paluxy Rd Suite 304 Granbury, TX - 760485609 |
| Business Phone Number: | 8175797246 |
| Business Fax Number: | 8175793916 |
| Mailing Address: | 1308 E Paluxy Rd, Suite 304 GRANBURY |
| State: | TX |
| Postal Code: | 760485609 |
| Phone Number: | 8175797246 |
| Fax Number: | 8175793916 |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101232625 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |