Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | F2076 | TX |
NPI | 1013950997 |
---|---|
Provider Name | Ralph James Turner |
First Address | Longview, TX 75601-5661 |
Second Address | Tyler, TX 75701-2143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
083962301 | (05) | TX |
C22842 | (02) | TX |