MEDICARE: DR. TAMMIE 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	174400000X	Specialist	H2852	TX

General Provider Information

NPI Number	:	1639267123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMIE TURNER M.D.

Provider Business Mailing Address
First Line	:	3501 N 19TH ST
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-2007
Country	:	US
Telephone Number	:	254-745-5105
Fax Number	:	254-745-5137

Provider Business Practice Location Address
First Line	:	3501 N 19TH ST
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-2097
Country	:	US
Telephone Number	:	254-745-5105
Fax Number	:	254-745-5137

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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