Dr. Tim R Tarkenton
Obstetrician & Gynecologist
220 Sw 26th Ave
Mineral Wells
, Texas 76067
Dr. Tim R Tarkenton
Obstetrician & Gynecologist
220 Sw 26th Ave
Mineral Wells
, Texas 76067
(940) 325-9696
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Tim R Tarkenton
- 220 Sw 26th Ave
- Mineral Wells, TX
- Zip : 76067
- Fax : (940) 325-9696
- Phone : (940) 328-1261
Second Address
- Dr. Tim R Tarkenton
- 220 Sw 26th Ave
- Mineral Wells, TX
- Zip : 76067
- Fax : (940) 325-9696
- Phone : (940) 328-1261
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | H2824 | TX |
National Provider Identifier
| NPI | 1003990615 |
|---|---|
| Provider Name | Dr. Tim R Tarkenton |
| First Address | Mineral Wells, TX 76067 |
| Second Address | Mineral Wells, TX 76067 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 30/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10020986 | AMERIGROUP (01) | TX |
| 123030201 | (05) | TX |
| E40795 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.