Healthcare Provider Details

I. General information

NPI: 1700899853
Provider Name (Legal Business Name): TURNER CARDIOVASCULAR ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E LAKE ST STE 101
TYLER TX
75701-3343
US

IV. Provider business mailing address

1100 E LAKE ST STE 101
TYLER TX
75701-3343
US

V. Phone/Fax

Practice location:
  • Phone: 903-593-0900
  • Fax: 903-593-0926
Mailing address:
  • Phone: 903-593-0900
  • Fax: 903-593-0926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM F. TURNER JR.
Title or Position: PARTNER
Credential: M.D.
Phone: 903-593-0900