Provider Demographics
NPI:1699854547
Name:TURK, DAVID (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TURK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 SE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-5341
Mailing Address - Country:US
Mailing Address - Phone:940-325-0077
Mailing Address - Fax:940-325-3154
Practice Address - Street 1:112 SE 4TH AVE
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-5341
Practice Address - Country:US
Practice Address - Phone:940-325-0077
Practice Address - Fax:940-325-3154
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A2260OtherBCBS PROVIDER ID
TX350055898OtherRAILROAD MEDICARE
TX605061OtherHUMANA PROVIDER ID
605061Medicare PIN
TX8A2260OtherBCBS PROVIDER ID