Healthcare Provider Details

I. General information

NPI: 1346345113
Provider Name (Legal Business Name): JAMES T TURLINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E LAKE ST SUITE 160
TYLER TX
75701-3343
US

IV. Provider business mailing address

901 TURTLE CREEK DR
TYLER TX
75701-1947
US

V. Phone/Fax

Practice location:
  • Phone: 903-590-5150
  • Fax: 903-590-5198
Mailing address:
  • Phone: 903-596-3588
  • Fax: 903-594-2038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number13016
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberD7344
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: