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NPI Code Detail

MEDICARE: MR. LARRY JOSEPH TURNBOUGH R.N.

MEDICARE:  MR. LARRY JOSEPH TURNBOUGH  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse133879MO

General Provider Information

NPI Number : 1558385005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LARRY JOSEPH TURNBOUGH R.N.
Provider Business Mailing Address
First Line : 3305 IRISH SHORES LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7923
Country : US
Telephone Number : 281-412-4277
Fax Number :
Provider Business Practice Location Address
First Line : 2202 HOLCOMBE BLVD
Second Line : MICHAEL E. DEBAKEY VAMC
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 713-791-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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