MEDICARE: DR. TARA MYERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	G5421	TX
2	207R00000X	Internal Medicine Physician	G5421	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G5421	OTHER	TX	LICENSE NUMBER/WORKMAN CO

General Provider Information

NPI Number	:	1184733925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARA MYERS M.D.

Provider Business Mailing Address
First Line	:	22475 TOMBALL PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1530
Country	:	US
Telephone Number	:	281-320-8500
Fax Number	:	281-320-8580

Provider Business Practice Location Address
First Line	:	22475 TOMBALL PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1530
Country	:	US
Telephone Number	:	281-320-8500
Fax Number	:	281-320-8580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/23/2024

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