Provider Demographics
NPI:1932101219
Name:CALDWELL, TURNER M III (MD)
Entity Type:Individual
Prefix:
First Name:TURNER
Middle Name:M
Last Name:CALDWELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 WOLFLIN AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-5959
Mailing Address - Country:US
Mailing Address - Phone:806-355-9866
Mailing Address - Fax:806-355-4004
Practice Address - Street 1:4302 WOLFLIN AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-5959
Practice Address - Country:US
Practice Address - Phone:806-355-9866
Practice Address - Fax:806-355-4004
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037630301Medicaid
TX807984OtherBLUE CROSS BLUE SHIELD
TX070002898OtherMEDICARE RAILROAD
TX070002898OtherMEDICARE RAILROAD