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1255312179
CHARLES KELLEY THOMPSON
FORT SAM HOUSTON, TX
NPI
1255312179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA03696)
Enumeration Date
2005-11-08
Last Update Date
2015-03-30
Business Address
Mr. CHARLES KELLEY THOMPSON PA-C
3551 ROGER BROOKE DR MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-1766
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Mailing Address
Mr. CHARLES KELLEY THOMPSON PA-C
3551 ROGER BROOKE DR MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-1766
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