Individual
JOHN RICHARD TURNAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039239101
—
TX
Enumeration date
06/01/2007
Last updated
10/04/2010
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