Provider Demographics
NPI:1750306536
Name:TURNER, JOHN SCHILLER II (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:SCHILLER
Last Name:TURNER
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 788
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103
Mailing Address - Country:US
Mailing Address - Phone:903-567-1910
Mailing Address - Fax:903-567-1940
Practice Address - Street 1:1108 SO. BUFFALO STREET
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103
Practice Address - Country:US
Practice Address - Phone:903-567-1910
Practice Address - Fax:903-567-1940
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091822903Medicaid
TX8S5836OtherBLUE CROSS
TXP00268741OtherRAILROAD MEDICARE
TX091822903Medicaid
TXP00268741Medicare PIN
F52443Medicare UPIN