Provider Demographics
NPI:1366670077
Name:HAGOPIAN, TARA ASHLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:ASHLEY
Last Name:HAGOPIAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:20320 NORTHWEST FWY
Mailing Address - Street 2:SUITE 900
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5641
Mailing Address - Country:US
Mailing Address - Phone:281-453-7232
Mailing Address - Fax:281-440-2020
Practice Address - Street 1:16750 RED OAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2543
Practice Address - Country:US
Practice Address - Phone:281-453-7110
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2016-10-03
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Provider Licenses
StateLicense IDTaxonomies
TXBP200341812085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology