MEDICARE: DEXTER GODFREY TURNQUEST M.D.

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
1	208600000X	Surgery Physician	H9485	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H9485	OTHER	TX	LICENSE/PERMIT NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720081938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEXTER GODFREY TURNQUEST M.D.

Provider Business Mailing Address
First Line	:	17070 RED OAK DR
Second Line	:	STE 507
City	:	HOUSTON
State	:	TX
Zip	:	77090-2617
Country	:	US
Telephone Number	:	281-444-8090
Fax Number	:	281-444-8195

Provider Business Practice Location Address
First Line	:	17070 RED OAK DR
Second Line	:	STE 507
City	:	HOUSTON
State	:	TX
Zip	:	77090-2617
Country	:	US
Telephone Number	:	281-444-8090
Fax Number	:	281-444-8195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/27/2009

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