Organization Active NPI

Mayra Jimenez Thompson, MD PLLC

  • Gynecology Physician
  • Dallas, TX
National Provider Identifier
1326710799
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MAYRA JIMENEZ THOMPSON, MD PLLC
Practice address
12200 Park Central Drive
Suite 200
Dallas, TX 75251-2120
Phone
(972) 528-5590
Fax
(972) 566-8461
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mayra Jimenez Thompson, MD
Title
Member Manager
Phone
(972) 528-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

12200 Park Central Drive
Suite 200
Dallas, TX 75251-2120

Mailing address

12200 Park Central Drive
Suite 200
Dallas, TX 75251-2120
Phone (972) 528-5590

National Provider Directory

National Provider Directory

Locations

12200 Park Central Dr
Ste 200
Dallas, TX 75251
Phone (972) 528-5590

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1326710799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DRIVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512120",
            "telephone_number": "972-528-5590",
            "fax_number": "972-566-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DRIVE",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512120",
            "telephone_number": "972-528-5590",
            "fax_number": "972-566-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYRA JIMENEZ THOMPSON, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "972-528-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.