Provider Demographics
NPI:1891702585
Name:TURLEY, KEITH P (DC)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:P
Last Name:TURLEY
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 1:17019 CROSS SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4709
Mailing Address - Country:US
Mailing Address - Phone:281-440-9292
Mailing Address - Fax:281-440-9294
Practice Address - Street 1:15622 SILVER RIDGE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3704
Practice Address - Country:US
Practice Address - Phone:281-440-9292
Practice Address - Fax:281-440-9294
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3010111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601248Medicare PIN