Provider Demographics
NPI:1124047410
Name:TURNEY, MATTHEW W (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:W
Last Name:TURNEY
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 1:2101 S COULTER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2513
Mailing Address - Country:US
Mailing Address - Phone:806-350-7744
Mailing Address - Fax:
Practice Address - Street 1:2101 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-350-7744
Practice Address - Fax:806-350-7776
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22334207P00000X
TXP4257207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP4257OtherMEDICAL LICENSE
14148510OtherCAQH
OR999999Medicaid