Provider Demographics
NPI:1922177583
Name:TOMPKINS, DAREN (MD)
Entity type:Individual
Prefix:DR
First Name:DAREN
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 PALUXY RD STE A
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-5689
Mailing Address - Country:US
Mailing Address - Phone:817-408-3197
Mailing Address - Fax:817-579-3926
Practice Address - Street 1:601 FALL CREEK HWY
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7960
Practice Address - Country:US
Practice Address - Phone:817-326-3900
Practice Address - Fax:817-578-8903
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS0386207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine