Provider Demographics
NPI:1437190774
Name:LACOUR, AUDREY TURNER (MD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:TURNER
Last Name:LACOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 PEARLAND PKWY STE W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2676
Mailing Address - Country:US
Mailing Address - Phone:713-991-7100
Mailing Address - Fax:713-991-7103
Practice Address - Street 1:10555 PEARLAND PKWY STE W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2676
Practice Address - Country:US
Practice Address - Phone:713-991-7100
Practice Address - Fax:713-991-7103
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192773302Medicaid
TX8DB548OtherBCBS OF TX
TX192773302Medicaid
TX8K5772Medicare PIN