Organization
MINERAL WELLS WOMEN'S PAVILION, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM ROBERT TARKENTON MD (PHYSICIAN/OWNER)
(940) 328-1261
Entity
Organization
Contact information
Practice address
220 SW 26TH AVENUE, MINERAL WELLS, TX 76067
(940) 328-1261
Mailing address
220 SW 26TH AVE, MINERAL WELLS, TX 76067-8248
(940) 328-1261
(940) 325-9696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10020986
AMERIGROUP
TX
05
—
123030201
—
TX
Enumeration date
04/11/2007
Last updated
11/19/2025
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