Tarver, Jerry M.

Tarver, Jerry M. is an individual health care provider with primary practice located at 4351 Ridgemont Dr Ste A , Abilene TX 79606. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Tarver, Jerry M. can be contacted via phone (254) 245-9175.

Contact Information

Primary practice address
4351 Ridgemont Dr Ste A Abilene TX 79606
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H2971 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X H2971 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X H2971 Texas

Profile Details

NPI number 1235170671
LBN Legal business name Tarver, Jerry M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235170671 NPPES
Texas MEDICAID 137430811

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