Provider Demographics
NPI:1396352522
Name:THOMPSON, RUPERT (APRN)
Entity type:Individual
Prefix:
First Name:RUPERT
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3604
Mailing Address - Country:US
Mailing Address - Phone:713-597-5131
Mailing Address - Fax:713-597-7611
Practice Address - Street 1:1724 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3604
Practice Address - Country:US
Practice Address - Phone:713-597-5131
Practice Address - Fax:713-597-7611
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2025-06-05
Deactivation Date:2025-02-22
Deactivation Code:
Reactivation Date:2025-06-03
Provider Licenses
StateLicense IDTaxonomies
TX1199285363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health