Healthcare Provider Details

I. General information

NPI: 1083788855
Provider Name (Legal Business Name): NANCY A TURNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 W BEN WHITE BLVD SUITE B-250
AUSTIN TX
78704-6888
US

IV. Provider business mailing address

1221 W BEN WHITE BLVD SUITE B-250
AUSTIN TX
78704-6888
US

V. Phone/Fax

Practice location:
  • Phone: 512-462-1717
  • Fax: 512-462-0822
Mailing address:
  • Phone: 512-462-1717
  • Fax: 512-462-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberG0220
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: