Provider Demographics
NPI:1629491246
Name:TAGGARSE, AMIT (MBBS)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:
Last Name:TAGGARSE
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-630-9430
Mailing Address - Fax:956-686-2608
Practice Address - Street 1:4419 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2464
Practice Address - Country:US
Practice Address - Phone:956-630-9430
Practice Address - Fax:956-686-2608
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-10733208G00000X
390200000X
TXS3756208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program