Individual
DR. DENISE TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7219 CULEBRA RD, SAN ANTONIO, TX 78251
(210) 509-2603
(210) 509-3726
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214
(210) 921-3800
(210) 921-6620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080169099
RR MEDICARE
TX
05
—
134179406
—
TX
Enumeration date
02/22/2006
Last updated
07/30/2018
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