Provider Demographics
NPI:1316017304
Name:TURNER, CARL ROBERT (MD, FAAP)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ROBERT
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 UNIVERSITY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670
Mailing Address - Country:US
Mailing Address - Phone:903-935-9441
Mailing Address - Fax:903-938-1246
Practice Address - Street 1:304 UNIVERSITY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5210
Practice Address - Country:US
Practice Address - Phone:903-935-9441
Practice Address - Fax:903-938-1246
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4728208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126216403Medicaid
C22841Medicare UPIN