Doctor Name: | TRACY TURNER |
NPI Number: | 1558349951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | M2163 |
Business Practice Address: | 920 Medical Plaza Dr Suite 400 Shenandoah, TX - 773803259 |
Business Phone Number: | 2818828050 |
Business Fax Number: | 2818828057 |
Mailing Address: | 920 Medical Plaza Dr, Suite 400 SHENANDOAH |
State: | TX |
Postal Code: | 773803259 |
Phone Number: | 2818828050 |
Fax Number: | 2818828057 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | M2163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |