Individual
BEVERLY TURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 2ND ST, PLEASANTON, TX 78064-3101
(830) 569-5050
(830) 569-5050
Mailing address
PO BOX 149, PLEASANTON, TX 78064-0149
(830) 569-5050
(830) 569-5050
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB856
MEDICARE PTAN
TX
Enumeration date
09/28/2011
Last updated
10/07/2011
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