Provider Demographics
NPI:1558385005
Name:TURNBOUGH, LARRY JOSEPH (RN)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:JOSEPH
Last Name:TURNBOUGH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:TURNBOUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3305 IRISH SHORES LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7923
Mailing Address - Country:US
Mailing Address - Phone:281-412-4277
Mailing Address - Fax:
Practice Address - Street 1:2202 HOLCOMBE BLVD
Practice Address - Street 2:MICHAEL E. DEBAKEY VAMC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO133879163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse