Provider Demographics
NPI:1407250921
Name:TURNER, TERESA ERMINGER (LSA)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ERMINGER
Last Name:TURNER
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58721
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8721
Mailing Address - Country:US
Mailing Address - Phone:214-227-2457
Mailing Address - Fax:214-764-0880
Practice Address - Street 1:4200 PARKVIEW TERRACE LN
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-8392
Practice Address - Country:US
Practice Address - Phone:214-227-2457
Practice Address - Fax:214-764-0880
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00627246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8JK532OtherBCBS - XCITE SURGICAL
TX8JK534OtherBCBS - UNIVERSAL SURGICAL ASSISTANTS
TXSA00627OtherTEXAS MEDICAL BOARD
TX8JK533OtherBCBS - UNIVERSAL SURGICAL PARTNERS
TX8LH923OtherBCBS - BLUE STAR SURGICAL ASSISTANTS LLC