Provider Demographics
NPI:1093918849
Name:MARSHALL TURNBULL MD, PA
Entity Type:Organization
Organization Name:MARSHALL TURNBULL MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:D
Authorized Official - Last Name:TURNBULL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-676-4543
Mailing Address - Street 1:1317 N 8TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4145
Mailing Address - Country:US
Mailing Address - Phone:325-676-4543
Mailing Address - Fax:325-672-9869
Practice Address - Street 1:1900 PINE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2432
Practice Address - Country:US
Practice Address - Phone:325-676-4543
Practice Address - Fax:325-672-9869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC2009208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX007617OtherBCBS PROVIDER NUMBER
TXB27139Medicare UPIN
TX007617Medicare ID - Type UnspecifiedPROVIDER NUMBER