Basic Information
| Provider Information | |||||||||
| NPI: | 1922126960 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TARVER | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | JOE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 NASA PKWY | ||||||||
| Address2: | SD-13 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770583607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814837999 | ||||||||
| FaxNumber: | 2814833392 | ||||||||
| Practice Location | |||||||||
| Address1: | 2101 NASA PKWY | ||||||||
| Address2: | SD-13 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770583607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814837999 | ||||||||
| FaxNumber: | 2814833392 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083A0100X | H8452 | TX | X | Allopathic & Osteopathic Physicians | Preventive Medicine | Aerospace Medicine | 2083X0100X | H8452 | TX | X | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine |
No ID Information.