Provider Demographics
NPI:1922126960
Name:TARVER, WILLIAM JOE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOE
Last Name:TARVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2101 NASA PKWY
Mailing Address - Street 2:SD-13
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3607
Mailing Address - Country:US
Mailing Address - Phone:281-483-7999
Mailing Address - Fax:281-483-3392
Practice Address - Street 1:2101 NASA PKWY
Practice Address - Street 2:SD-13
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3607
Practice Address - Country:US
Practice Address - Phone:281-483-7999
Practice Address - Fax:281-483-3392
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH84522083A0100X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG-87395Medicare UPIN