Provider Demographics
NPI:1922008606
Name:TURNBULL, JEFFREY DAVID (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:DAVID
Last Name:TURNBULL
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:118 SHENANDOAH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1204
Mailing Address - Country:US
Mailing Address - Phone:281-583-4000
Mailing Address - Fax:281-580-5079
Practice Address - Street 1:118 SHENANDOAH DR
Practice Address - Street 2:SUITE A
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77381-1204
Practice Address - Country:US
Practice Address - Phone:281-583-4000
Practice Address - Fax:281-580-5079
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2016-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA02236363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190378301Medicaid
TX190378301Medicaid
TX8J9541Medicare PIN
TXTXB164409Medicare UPIN