Provider Demographics
NPI:1740280213
Name:JOHN M.TURNBOW, M.D., P.A.
Entity type:Organization
Organization Name:JOHN M.TURNBOW, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TURNBOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-793-6200
Mailing Address - Street 1:3315 81ST ST
Mailing Address - Street 2:STE A
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2035
Mailing Address - Country:US
Mailing Address - Phone:806-793-6200
Mailing Address - Fax:806-793-6319
Practice Address - Street 1:3315 81ST ST
Practice Address - Street 2:STE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2035
Practice Address - Country:US
Practice Address - Phone:806-793-6200
Practice Address - Fax:806-793-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH12262080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE51608Medicare UPIN