| Doctor Name: | MS. CHASARETH EDWONNE THOMPSON |
| NPI Number: | 1578907630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA08203 |
| Business Practice Address: | 1905 Dove Crossing Ln Suite #c Navasota, TX - 778685272 |
| Business Phone Number: | 9368250000 |
| Business Fax Number: | 9798258001 |
| Mailing Address: | 1500 University Dr E, Suite 100 COLLEGE STATION |
| State: | TX |
| Postal Code: | 778402600 |
| Phone Number: | 9798461100 |
| Fax Number: | 9792609390 |
| NPI Enumeration Date: | 04/19/2013 |
| NPI Last Update Date: | 04/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA08203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |