Provider Demographics
NPI:1639365216
Name:BEVERLY TURNHAM
Entity Type:Organization
Organization Name:BEVERLY TURNHAM
Other - Org Name:QAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:TURNHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-207-4649
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-0399
Mailing Address - Country:US
Mailing Address - Phone:361-207-4649
Mailing Address - Fax:830-569-3872
Practice Address - Street 1:613 LUCERO ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-5850
Practice Address - Country:US
Practice Address - Phone:361-207-4649
Practice Address - Fax:830-569-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance