Provider Demographics
NPI:1871849687
Name:TAGARI, FIONA HOOSEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FIONA
Middle Name:HOOSEN
Last Name:TAGARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7829 LOVAIN DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6137
Mailing Address - Country:US
Mailing Address - Phone:361-993-1212
Mailing Address - Fax:
Practice Address - Street 1:7829 LOVAIN DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-6137
Practice Address - Country:US
Practice Address - Phone:361-993-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10042239208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics