Healthcare Provider Details

I. General information

NPI: 1225524341
Provider Name (Legal Business Name): HENRY SAMUEL TURCIOS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6217 OLD KEENE MILL CT
SPRINGFIELD VA
22152-2324
US

IV. Provider business mailing address

870 PATRICK HENRY DR
ARLINGTON VA
22205-1437
US

V. Phone/Fax

Practice location:
  • Phone: 703-451-0232
  • Fax: 703-451-5149
Mailing address:
  • Phone: 571-432-6087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0103301424
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: