Provider Demographics
NPI:1659385896
Name:TURNER, DIANA LYNN (PA -CERTIFIED)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA -CERTIFIED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4040 ALLENCREST LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-7203
Mailing Address - Country:US
Mailing Address - Phone:972-243-1825
Mailing Address - Fax:214-302-1433
Practice Address - Street 1:4500 S LANCASTER RD # 111-D
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1522
Practice Address - Fax:214-302-1433
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1004638OtherNATIONAL CERTIFICATION NU