Provider Demographics
NPI:1396795886
Name:TURNER, ELLEN O'KEEFE (MD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:O'KEEFE
Last Name:TURNER
Suffix:
Gender:F
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:PO BOX 610429
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75261-0429
Mailing Address - Country:US
Mailing Address - Phone:214-373-7546
Mailing Address - Fax:214-373-7545
Practice Address - Street 1:4420 W LOVERS LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-3130
Practice Address - Country:US
Practice Address - Phone:214-373-7546
Practice Address - Fax:214-373-7545
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0954207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI59906Medicare UPIN