PANCHANOK CHUMPUMUD THOMPSON

GRAPEVINE, TX
NPI1609384197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP135936)
Enumeration Date2018-01-18
Last Update Date2018-01-18
Business Address
Mrs. PANCHANOK CHUMPUMUD THOMPSON PMHNP-BC
1643 LANCASTER DR STE 305
GRAPEVINE, TX 76051-3593
Phone number: 817-778-0191
Mailing Address
Mrs. PANCHANOK CHUMPUMUD THOMPSON PMHNP-BC
5145 BREEZE HOLLOW CT
FORT WORTH, TX 76179-4257
Phone number: 817-913-9624
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