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NPI Code Detail

MEDICARE: CYNTHIA P TARVER MD

MEDICARE: CYNTHIA P TARVER MD
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
1207Y00000XOtolaryngology PhysicianH8451TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB166198OTHERTXMEDICARE - GROUP

General Provider Information

NPI Number : 1497738926
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA P TARVER MD
Provider Business Mailing Address
First Line : 14140 SOUTHWEST FWY STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3842
Country : US
Telephone Number : 281-649-7000
Fax Number : 713-484-6649
Provider Business Practice Location Address
First Line : 11454 SPACE CENTER BLVD
Second Line : #B
City : HOUSTON
State : TX
Zip : 77059-3599
Country : US
Telephone Number : 281-998-0530
Fax Number : 281-998-2284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 10/21/2019

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Directions to “ CYNTHIA P TARVER MD” Practice Location

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