MEDICARE: DR. ELLEN O'KEEFE TURNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207NS0135X	Procedural Dermatology Physician	M0954	TX
2	207N00000X	Dermatology Physician	M0954	TX

General Provider Information

NPI Number	:	1396795886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLEN O'KEEFE TURNER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 610429
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75261-0429
Country	:	US
Telephone Number	:	214-373-7546
Fax Number	:	214-373-7545

Provider Business Practice Location Address
First Line	:	4420 W LOVERS LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-3130
Country	:	US
Telephone Number	:	214-373-7546
Fax Number	:	214-373-7545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	04/11/2025

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