Healthcare Provider Details
I. General information
NPI: 1841358777
Provider Name (Legal Business Name): MELODY KAY TURNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3115 COLLEGE PARK DRIVE FOREST PEDIATRICS
CONROE TX
77384
US
IV. Provider business mailing address
20719 TRESHIRE LANE
SPRING TX
77388
US
V. Phone/Fax
- Phone: 936-321-5030
- Fax: 936-371-5033
- Phone: 281-355-1034
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0200X |
| Taxonomy | Pediatric Registered Nurse |
| License Number | 707776 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: