Active NPI
Deborah Ann Thomson, PA-C
- Physician Assistant
- Del Rio, TX
National Provider Identifier
1124150024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03290
- Practice address
- 1117 W de la Rosa St
Del Rio, TX 78840-6224 - Phone
- (830) 768-4800
- Fax
- (830) 768-4844
- NPI assigned
- Mar 9, 2007
- Last updated
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03290 | TX | Primary |
Addresses
Primary practice location
1117 W de la Rosa St
Del Rio, TX 78840-6224
Mailing address
2525 N Veterans Blvd
P.O. Box 1470
Eagle Pass, TX 78852-3302
Phone (830) 773-6963
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121077505 | Medicaid | TX | |
| 121077504 | Medicaid | TX | |
| 111923201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1124150024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 N VETERANS BLVD",
"address_2": "P.O. BOX 1470",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523302",
"telephone_number": "830-773-6963",
"fax_number": "830-757-5647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 W DE LA ROSA ST",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788406224",
"telephone_number": "830-768-4800",
"fax_number": "830-768-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121077505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121077504",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111923201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
- Team Physicians of Texas PA (Val Verde Radiology)
- Tserha Tekeste
- Terry M. Lindsey, M.D. P.a. (Del Rio Medical & Surgical Clinic)
- Texas Em-1Medical Services, PA
- Texas Emergency Room Services PA
- TLC Adult Day Care Centers, Inc.
- Angela Torres Ortiz
- Natalia Trevino, M.S. CF-SLP
- Nereyda Trevino
- Erica Renee Tyler, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.