Provider Demographics
NPI:1629161450
Name:TURNER, WILLIAM WOOD JR (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WOOD
Last Name:TURNER
Suffix:JR
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 1:6446 STEFANI DR.
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-2327
Mailing Address - Country:US
Mailing Address - Phone:972-835-7112
Mailing Address - Fax:214-648-6700
Practice Address - Street 1:6446 STEFANI DR.
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-2327
Practice Address - Country:US
Practice Address - Phone:972-835-7112
Practice Address - Fax:214-645-2940
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0636208600000X
MS16122208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044808603Medicaid
MS00119858Medicaid
MS00119858Medicaid
C22831Medicare UPIN
TX8J2064Medicare PIN