MEDICARE: MEGAN CLAIRE TURNER TURLEY 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	208600000X	Surgery Physician	T2772	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208C00000X	Colon & Rectal Surgery Physician	T2772	TX

General Provider Information

NPI Number	:	1639598402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CLAIRE TURNER TURLEY M.D

Provider Business Mailing Address
First Line	:	13915 NORTH MOPAC EXPRESSWAY
Second Line	:	SUITE 100
City	:	AUSTIN
State	:	TX
Zip	:	78728-4699
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	13915 NORTH MOPAC EXPRESSWAY
Second Line	:	STE 100
City	:	AUSTIN
State	:	TX
Zip	:	78728-7872
Country	:	US
Telephone Number	:	512-220-7002
Fax Number	:

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

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	04/28/2023

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