D CROCKETT THIGPEN III


Address: 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701
Phone: 9724875462

D CROCKETT THIGPEN III (NPI# 1528013737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528013737
Entity Type Individual
Full Name D CROCKETT THIGPEN III
Credential M.D.
Practice Address 700 Walter Reed Blvd
Suite 204
Garland
TX 75042-3701
Practice Telephone 9724875462
Practice Fax Number 9724875277
Mailing Telephone 9724875462
Mailing Fax Number 9724875277
Enumeration Date 2006-05-24
Last Update Date 2010-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine L7216 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 165899901 05
TX BCBS 8J0624 01

Office Location

Street Address 700 WALTER REED BLVD
SUITE 204
City GARLAND
State TX
Zip Code 75042-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205832326 William Daniel Nicholson IIi Surgery 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 2005-06-23
1982095329 Vascular Care of Texas, Pllc Surgery 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 2015-02-06
1215209721 Biren H Parikh, Md, Pa Internal Medicine 700 Walter Reed Blvd, Suite 301a, Garland, TX 75042-3701 2012-01-30
1447540976 Terry W. Sergison Physical Therapist 700 Walter Reed Blvd, Garland, TX 75042-3701 2011-04-18
1164673893 Safia Raza Internal Medicine 700 Walter Reed Blvd, Suite #204, Garland, TX 75042-3701 2008-09-30
1801056924 Hong B Dang Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2008-06-12
1063687259 Srilakshmi Chavali Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2008-04-28
1134306590 Vijayavalli Little Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-5743 2008-01-29
1952596900 Shilpa Gupta Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2007-09-12
1245442128 Sandra V. Moore Mdpa Surgery 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 2007-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699259697 Abiodun Gloria Irabor-musa Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3106 Centennial Dr, Garland, TX 75042 2018-09-17
1356870620 Brad Taylor Landrum Family Medicine 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 2017-06-08
1043662034 Alicia Valdiviezo Physician Assistant 2046 Forest Ln Ste 130, Garland, TX 75042 2016-07-01
1053711184 Jamette Hickman Physical Therapist 705 Walter Reed Blvd Suite 100, Garland, TX 75042 2014-08-26
1619397932 Saint Catherine Hospice Inc. Hospice, Inpatient 4229 Glenhaven Drive, Garland, TX 75042 2014-04-25
1821424094 Angel Care Team Adult Companion 1801 Evelyn Dr., Garland, TX 75042 2013-09-19
1427311042 Baylor Family Medicine Clinic Case Manager/Care Coordinator 601 Clara Barton, 340, Garland, TX 75042 2012-06-19
1003176959 Benedict Eric Homer Dentist 813 North Jupiter Rd., Garland, TX 75042 2012-05-25
1518254929 Rama Sulochana Narla Emergency Medicine 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 2011-07-06
1093002917 Mecca Group Community/Behavioral Health 1213 Patricia Ln, Garland, TX 75042 2011-06-29
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972154748 Morrill Medical Mobile Services Pa Internal Medicine 4125 Broadway Blvd Ste 120c, Garland, TX 75043-2500 2019-09-24
1013573948 Orfaly Medical Professional Corporation Internal Medicine 3200 Broadway Blvd Ste 180, Garland, TX 75043-1572 2019-05-16
1134627417 Millennium Medical Care, Pllc Internal Medicine 2719 Belt Line Rd, Garland, TX 75044-7085 2018-01-31
1245627785 Fahad Najeeb Md Pllc Internal Medicine 1838 Mcclary St, Garland, TX 75040-4492 2015-04-22
1760805626 Rahul Gill Internal Medicine 1909 Northwind Ct, Garland, TX 75040-4613 2014-01-29
1053688457 Arun Jacob Internal Medicine 4834 Orchard Ridge Dr, Garland, TX 75043-8239 2011-11-30
1356468623 Vinay Nair Internal Medicine 4821 Saturn Rd Ste 104, Garland, TX 75041-5955 2007-03-23
1487748661 Chukwuma C Osuagwu Internal Medicine 1015 W Centerville Rd, Suite 118, Garland, TX 75041-5914 2006-10-03
1447362488 Thuy Ngoc Nguyen Internal Medicine 3555 W Walnut St, Suite A, Garland, TX 75042-4017 2006-08-31
1659387058 Central Physicians House Calls, LLC Internal Medicine 510 W. I-30, Suite 213, Garland, TX 75043 2006-07-31
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Competitor

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City GARLAND
Zip Code 75042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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