TARA PAVELEK (NPI# 1679990493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679990493 |
| Entity Type | Individual |
| Full Name | TARA PAVELEK |
| Credential | D.O. |
| Practice Address |
713 E Anderson St Weatherford TX 76086-5705 |
| Mailing Address |
2205 Ridgmar Blvd Apt 922 Fort Worth TX 76116-2305 |
| Practice Telephone | 8175991200 |
| Practice Fax Number | 8175991269 |
| Mailing Telephone | 8175991200 |
| Mailing Fax Number | 8175984799 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | P9438 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
713 E ANDERSON ST |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566259 | Dan Taylor Benscoter II | Pathology | 713 E Anderson St, Weatherford, TX 76086-5705 | 2005-11-29 |
| 1649809724 | Quy Nguyen Lam | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-04-02 |
| 1740819853 | Christopher Edmond Elias | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-04-02 |
| 1023647179 | Calvin Le | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-04-01 |
| 1104454404 | Easton Michael Downs | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-31 |
| 1255969622 | Danny D Anchondo | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-31 |
| 1053949495 | Hiral Subhashchandra Trivedi | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-31 |
| 1558999854 | Sehar Salman | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-31 |
| 1013545615 | Annelise Kutzler | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-30 |
| 1952939647 | Justin Richardson | Student in an Organized Health Care Education/Training Program | 713 E Anderson St, Weatherford, TX 76086-5705 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1114010071 | Billy Coy Devenport | General Practice | 114 N Waco St, Weatherford, TX 76086 | 2006-10-02 |
| 1164962346 | Timothy Rollans Tappana | General Practice | 713 E Anderson St, Weatherford, TX 76086-5705 | 2017-03-07 |
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| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
Please comment or provide details below to improve the information on TARA PAVELEK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.