| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLETTA THOMPSON | 1770509044 | 2024-11-08 |
Carletta Thompson MD [F] graduated in 1994 and primarily specializes in Physical Medicine And Rehabilitation.
Carletta Thompson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770509044. Registration indicates Carletta Thompson is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians)
| PECOS ID | 5294620977 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Carletta Thompson M.D. |
| Practice Office Address | 407 S SCHWARTZ AVE STE 101 FARMINGTON, NM US |
| Practice Office Telephone | 5056096595 |
| Practice Office Fax | 5055994633 |
| Mailing Address | PO BOX 844088 DALLAS, TX 752844088 US |
| Business Telephone | 5056092258 |
| Business Fax | 5056092259 |
| Code | Practice | License No State |
|---|---|---|
| 208100000X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | 2003-0603
NM |
| 10309713 | MEDICAID | NM |