Healthcare Provider Details

I. General information

NPI: 1922126960
Provider Name (Legal Business Name): WILLIAM JOE TARVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NASA PKWY SD-13
HOUSTON TX
77058-3607
US

IV. Provider business mailing address

2101 NASA PKWY SD-13
HOUSTON TX
77058-3607
US

V. Phone/Fax

Practice location:
  • Phone: 281-483-7999
  • Fax: 281-483-3392
Mailing address:
  • Phone: 281-483-7999
  • Fax: 281-483-3392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberH8452
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberH8452
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: