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MINERAL WELLS WOMEN'S PAVILION, P.A.
NPI 1407070758
Obstetrics & Gynecology in Mineral Wells, TX

Active since April 11, 2007CLIA 45D0712217 · Waiver
220 SW 26TH AVENUE, MINERAL WELLS, TX 76067(940) 328-1261 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mineral Wells Women's Pavilion, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINERAL WELLS WOMEN'S PAVILION, P.A. (NPI 1407070758) is a healthcare organization registered as an obstetrics & gynecology in Mineral Wells, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Tim Robert Tarkenton, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1407070758
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMINERAL WELLS WOMEN'S PAVILION, P.A.
Location Address220 SW 26TH AVENUEMineral Wells, TX 76067
Mailing Address220 Sw 26th AveMineral Wells, TX 76067-8248 · (940) 328-1261 · Fax (940) 325-9696
Phone(940) 328-1261
Organization SubpartNo
Authorized OfficialTim Robert TarkentonPhysician/owner · (940) 328-1261
Enumeration DateApril 11, 2007
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1407070758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · H2824
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

220 SW 26TH AVENUE, Mineral Wells, TX 76067
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Other Identifiers 2

Medicaid123030201TX
Other10020986TX · Amerigroup

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0712217

Mineral Wells Women's Pavilion PA · Mineral Wells, TX
Active · expires May 13, 2027
CLIA Number45D0712217
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorTim R. Tarkenton
Laboratory Phone(940) 328-1261
Laboratory LocationMineral Wells Women's Pavilion PA220 SW 26th Ave, Mineral Wells, TX 76067
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is MINERAL WELLS WOMEN'S PAVILION, P.A.'s NPI number?

The NPI number assigned to this healthcare provider is 1407070758, enumerated as an "organization" on April 11, 2007.

Where is the provider located?

The provider is located at 220 SW 26TH AVENUE MINERAL WELLS, TX 76067 and the phone number is (940) 328-1261.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does MINERAL WELLS WOMEN'S PAVILION, P.A. accept?

The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.