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Individual

JERRY M. TARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4351 RIDGEMONT DR STE A, ABILENE, TX 79606
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H2971
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H2971
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
H2971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137430811
TX
Enumeration date
06/09/2006
Last updated
01/20/2025
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