Provider Demographics
NPI:1013706548
Name:TARVER THOMAS, BARBARA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TARVER THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14025 SAVANNAH LANDING CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2575
Mailing Address - Country:US
Mailing Address - Phone:713-412-8458
Mailing Address - Fax:713-412-8458
Practice Address - Street 1:14025 SAVANNAH LANDING CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2575
Practice Address - Country:US
Practice Address - Phone:713-412-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2664172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty