Provider Demographics
NPI:1225282163
Name:TURNER, MICHAEL SCOTT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 FM 544
Mailing Address - Street 2:STE 100
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4686
Mailing Address - Country:US
Mailing Address - Phone:214-731-0300
Mailing Address - Fax:
Practice Address - Street 1:1700 FM 544
Practice Address - Street 2:SUITE 100
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-4685
Practice Address - Country:US
Practice Address - Phone:972-394-4600
Practice Address - Fax:972-394-4622
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36115382207T00000X
CAA111481207T00000X
TXN9972207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB139296Medicare PIN
TX2863409-01Medicaid