Healthcare Provider Details

I. General information

NPI: 1699641837
Provider Name (Legal Business Name): TARITA L HALLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 KING RANCH DR
TEMPLE TX
76502-3733
US

IV. Provider business mailing address

1610 S 31ST ST STE 102-347
TEMPLE TX
76504-6788
US

V. Phone/Fax

Practice location:
  • Phone: 254-768-4548
  • Fax:
Mailing address:
  • Phone: 254-768-4548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: