Mary Tarango, MIDWIFE
Individual provider Active NPI Midwife · Hardesty, OK
NPI 1164063970 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1164063970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- RR 21 Apt 13
Hardesty, OK 73944 - Phone
- (806) 228-6748
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | OK | Yes |
Addresses
Primary practice location
RR 21 Apt 13
Hardesty, OK 73944
Mailing address
PO Box 1123
Perryton, TX 79070-1123
Phone (806) 228-6748
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.