Provider Demographics
NPI:1407592405
Name:ABILENE EMERGENCY PHYSICIANS STAFFING PA
Entity Type:Organization
Organization Name:ABILENE EMERGENCY PHYSICIANS STAFFING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-704-4470
Mailing Address - Street 1:4438 S CLACK ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3634
Mailing Address - Country:US
Mailing Address - Phone:325-829-3769
Mailing Address - Fax:
Practice Address - Street 1:4438 S CLACK ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3634
Practice Address - Country:US
Practice Address - Phone:325-704-4470
Practice Address - Fax:325-704-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty