Provider Demographics
NPI:1255619516
Name:TURK, STEPHANIE K, (OD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K,
Last Name:TURK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18850 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4288
Mailing Address - Country:US
Mailing Address - Phone:713-580-2500
Mailing Address - Fax:713-580-2597
Practice Address - Street 1:750 WESTGREEN BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2799
Practice Address - Country:US
Practice Address - Phone:281-392-3937
Practice Address - Fax:281-392-8671
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7722TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF0185402OtherDPS
112283943OtherCAQH
TXTXB144773OtherMEDICARE PIN - CS
TX68081OtherOPTUMHEALTH
TX83190QOtherBCBSTX
TXA10563OtherEYEMED
TX1255619516OtherUHC
TXTXB144774OtherMEDICARE PIN - HOU
TXPENDINGMedicaid
TXPENDINGMedicaid
TX258203YKVCMedicare PIN