Provider Demographics
NPI:1225524341
Name:TURCIOS, HENRY SAMUEL (DPM)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:SAMUEL
Last Name:TURCIOS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1437
Mailing Address - Country:US
Mailing Address - Phone:571-432-6087
Mailing Address - Fax:
Practice Address - Street 1:6217 OLD KEENE MILL CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2324
Practice Address - Country:US
Practice Address - Phone:703-451-0232
Practice Address - Fax:703-451-5149
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301424213ES0103X
PASC006947213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery