Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G0220 | TX |
NPI | 1083788855 |
---|---|
Provider Name | Mrs. Nancy A Turner |
First Address | Austin, TX 78704-6888 |
Second Address | Austin, TX 78704-6888 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0832479-01 | (05) | TX |
1232308-03 | (05) | TX |
125851102 | FIRST CARE ID (01) | TX |
88M091 | BCBS--INDIVIDUAL (01) | TX |
C22851 | (02) | TX |
G0220 | LICENSE (01) | TX |