Individual provider · Type 1 NPI

Mark Thompson, DPM

Foot & Ankle Surgery Podiatrist · Lake Worth, TX

NPI number 1750733119 Active

Practice location

6312 Azle Ave
Lake Worth, TX 76135-2442

Fax (817) 238-8401

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X2398 (TX)
Student in an Organized Health Care Education/Training Program 390200000XSC006749 (PA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2394 (TX)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1750733119

Mark Thompson, DPM's National Provider Identifier is 1750733119, issued on Jul 11, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Worth, TX. The record was last updated on Feb 8, 2023.