Healthcare Provider Details

I. General information

NPI: 1447331038
Provider Name (Legal Business Name): KRISHNA M. TURLAPATI M.D P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E RIDGE RD PICU INTENSIVIST
MCALLEN TX
78503-1248
US

IV. Provider business mailing address

PO BOX 3823
MCALLEN TX
78502-3823
US

V. Phone/Fax

Practice location:
  • Phone: 956-632-6000
  • Fax:
Mailing address:
  • Phone: 956-683-9399
  • Fax: 956-683-9378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ9405
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberJ9405
License Number StateTX

VIII. Authorized Official

Name: KRISHNA M TURLAPATI
Title or Position: PRESIDENT
Credential: M.D
Phone: 956-683-9399