| Russel Thompson, Phd & Associates Pc | |
|
7400 Blanco Road Suite 126 San Antonio TX 78216-3500 | |
| (210) 699-8700 | |
| Not Available |
| Full Name | Russel Thompson, Phd & Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7400 Blanco Road, San Antonio, Texas |
| Authorized Official Name and Position | Russel Thompson (PRESIDENT) |
| Authorized Official Contact | 2106998700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russel Thompson, Phd & Associates Pc Po Box 460875 San Antonio TX 78246-0875 Ph: (210) 699-8700 | Russel Thompson, Phd & Associates Pc 7400 Blanco Road Suite 126 San Antonio TX 78216-3500 Ph: (210) 699-8700 |
| NPI Number | 1932431350 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 06/16/2015 |
| Medicare PECOS PAC ID | 3072798974 |
|---|---|
| Medicare Enrollment ID | O20110419000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932431350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 32230 (Texas) | Primary |
| Provider Name | Russel L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003912924 PECOS PAC ID: 5395733497 Enrollment ID: I20040505001775 |
| Provider Name | Eboney P Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497093116 PECOS PAC ID: 8820233299 Enrollment ID: I20130408000253 |
| Provider Name | Kendall C John |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518647288 PECOS PAC ID: 4486000346 Enrollment ID: I20231028000521 |
| Provider Name | Erin C Coggan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306672563 PECOS PAC ID: 7517499379 Enrollment ID: I20241204003455 |
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