Individual
DR. HIRAM TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S MAIN ST, STE C, MCALLEN, TX 78501
(956) 686-0574
(956) 686-3301
Mailing address
801 S MAIN ST, STE C, MCALLEN, TX 78501
(956) 686-0574
(956) 686-3301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E7783
TX
207R00000X
Internal Medicine Physician
Primary
E7783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114287905
—
TX
01
—
351024YLPS
WELLMED PTAN
TX
Enumeration date
03/01/2007
Last updated
10/16/2015
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