Provider Demographics
NPI:1720081938
Name:TURNQUEST, DEXTER GODFREY (MD)
Entity Type:Individual
Prefix:
First Name:DEXTER
Middle Name:GODFREY
Last Name:TURNQUEST
Suffix:
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 1:17070 RED OAK DR
Mailing Address - Street 2:STE 507
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2617
Mailing Address - Country:US
Mailing Address - Phone:281-444-8090
Mailing Address - Fax:281-444-8195
Practice Address - Street 1:17070 RED OAK DR
Practice Address - Street 2:STE 507
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2617
Practice Address - Country:US
Practice Address - Phone:281-444-8090
Practice Address - Fax:281-444-8195
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9485208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH9485OtherLICENSE/PERMIT NUMBER
TX122263002Medicaid
TXF09301Medicare UPIN
TX00580GMedicare PIN