Provider Demographics
NPI:1184940363
Name:HAGOPIAN, MICHELLE MORIAH (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MORIAH
Last Name:HAGOPIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3150 MATLOCK RD STE 407
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2924
Mailing Address - Country:US
Mailing Address - Phone:817-375-9790
Mailing Address - Fax:817-375-9791
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 690
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2133
Practice Address - Country:US
Practice Address - Phone:817-761-7740
Practice Address - Fax:817-761-7742
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR8204208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery