Healthcare Provider Details

I. General information

NPI: 1750306536
Provider Name (Legal Business Name): JOHN SCHILLER TURNER II D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 SO. BUFFALO STREET
CANTON TX
75103
US

IV. Provider business mailing address

P.O. BOX 788
CANTON TX
75103
US

V. Phone/Fax

Practice location:
  • Phone: 903-567-1910
  • Fax: 903-567-1940
Mailing address:
  • Phone: 903-567-1910
  • Fax: 903-567-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE7305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: