Provider Demographics
NPI:1457394546
Name:TURNER, SAMARA PAULETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMARA
Middle Name:PAULETTE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:15104 TERRA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4645
Mailing Address - Country:US
Mailing Address - Phone:512-475-8416
Mailing Address - Fax:512-471-0898
Practice Address - Street 1:UNIV. HEALTH SERVICES; UNIV. OF TEXAS @ AUSTIN
Practice Address - Street 2:100F W. DEAN KEETON ST., ROOM 2.212
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712
Practice Address - Country:US
Practice Address - Phone:512-475-8416
Practice Address - Fax:512-471-0898
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG 3870174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist