Provider Demographics
NPI:1093743403
Name:TURNER, ROY WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:WAYNE
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GRAPEVINE HWY
Mailing Address - Street 2:STE 106
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2707
Mailing Address - Country:US
Mailing Address - Phone:817-514-6271
Mailing Address - Fax:817-514-6278
Practice Address - Street 1:500 GRAPEVINE HWY
Practice Address - Street 2:STE 106
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2707
Practice Address - Country:US
Practice Address - Phone:817-514-6271
Practice Address - Fax:817-514-6278
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4692207VG0400X
TXD69208208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD69208Medicare UPIN
TX00K909Medicare ID - Type Unspecified
TX034466501Medicaid