Provider Demographics
NPI:1790788404
Name:TURNAGE, MARIA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANN
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:ANN
Other - Last Name:TOLOTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8210 WALNUT HILL LANE
Mailing Address - Street 2:STE 300, LB 11
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4418
Mailing Address - Country:US
Mailing Address - Phone:214-750-1207
Mailing Address - Fax:214-739-5029
Practice Address - Street 1:8210 WALNUT HILL LANE
Practice Address - Street 2:STE 300, LB 11
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4418
Practice Address - Country:US
Practice Address - Phone:214-750-1207
Practice Address - Fax:214-739-5029
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038632174400000X
TXJ0315208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00438987OtherRAIL ROAD MEDICARE
TX8U7809OtherBCBS
TXF87772Medicare UPIN
TX8G4408Medicare PIN
TXP00438987OtherRAIL ROAD MEDICARE
TXP00438987Medicare PIN