Provider Demographics
NPI:1184724122
Name:TURNER, TARYN J (DO)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3571 W WHEATLAND RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3461
Mailing Address - Country:US
Mailing Address - Phone:972-274-5555
Mailing Address - Fax:972-274-5663
Practice Address - Street 1:1200 CRAWFORD AVE
Practice Address - Street 2:SUITE E
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-4561
Practice Address - Country:US
Practice Address - Phone:682-205-3501
Practice Address - Fax:682-205-3504
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2015-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL5025207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI74018Medicare UPIN
TX8F5939Medicare PIN