Provider Demographics
NPI:1740588011
Name:MATTHEW TURNER MD PA
Entity Type:Organization
Organization Name:MATTHEW TURNER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:SHAND
Authorized Official - Last Name:TUNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-244-5668
Mailing Address - Street 1:PO BOX 1751
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-1751
Mailing Address - Country:US
Mailing Address - Phone:806-244-5668
Mailing Address - Fax:806-244-8371
Practice Address - Street 1:204 E 16TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4845
Practice Address - Country:US
Practice Address - Phone:806-244-5668
Practice Address - Fax:806-244-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty