Provider Demographics
NPI:1568828473
Name:TURQUOISE, LTD
Entity Type:Organization
Organization Name:TURQUOISE, LTD
Other - Org Name:DEL NORTE HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:STOGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-893-0677
Mailing Address - Street 1:115 S TRAVIS ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5990
Mailing Address - Country:US
Mailing Address - Phone:903-893-0677
Mailing Address - Fax:903-893-3639
Practice Address - Street 1:604 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4248
Practice Address - Country:US
Practice Address - Phone:505-425-6241
Practice Address - Fax:505-425-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NM23943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4324060006Medicare NSC
4324060006Medicare NSC
NM09859314Medicaid