Healthcare Provider Details

I. General information

NPI: 1750042958
Provider Name (Legal Business Name): TIMOTHY TURBETT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MILTON BROWN HEIRS RD
BOONE NC
28607-8708
US

IV. Provider business mailing address

PO BOX 882
SCHERTZ TX
78154-0851
US

V. Phone/Fax

Practice location:
  • Phone: 254-230-8511
  • Fax:
Mailing address:
  • Phone: 254-230-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY TURBETT
Title or Position: OWNER
Credential: MD
Phone: 254-230-8511