Provider Demographics
NPI:1790854248
Name:CARL R TURNER
Entity Type:Organization
Organization Name:CARL R TURNER
Other - Org Name:CARL R. TURNER RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAAP
Authorized Official - Phone:903-935-9441
Mailing Address - Street 1:304 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-5246
Mailing Address - Country:US
Mailing Address - Phone:903-935-9441
Mailing Address - Fax:903-938-1246
Practice Address - Street 1:304 UNIVERSITY AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5246
Practice Address - Country:US
Practice Address - Phone:903-935-9441
Practice Address - Fax:903-938-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45-3853261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX063394302Medicaid
TX063394301Medicaid
TX063394302Medicaid
453853Medicare ID - Type Unspecified