Healthcare Provider Details

I. General information

NPI: 1063489102
Provider Name (Legal Business Name): TREVOR TURNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 WYOMING SPGS SUITE #1500
ROUND ROCK TX
78681-4303
US

IV. Provider business mailing address

7200 WYOMING SPGS SUITE #1500
ROUND ROCK TX
78681-4303
US

V. Phone/Fax

Practice location:
  • Phone: 512-218-8696
  • Fax: 512-218-9532
Mailing address:
  • Phone: 512-218-8696
  • Fax: 512-218-9532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberJ2387
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ2387
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: