Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | K3654 | TX |
N | 207QA0505X | Family Doctor - Adult Medicine | K3654 | TX |
NPI | 1154459584 |
---|---|
Provider Name | Dr. Michael Trent Turner JR. |
First Address | San Antonio, TX 78229-5900 |
Second Address | San Antonio, TX 78229-5900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 11/01/2010 |