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Provider Information for 1659517530

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. FADI TATARI DDS

Gender: MALE

Individual NPI: 1659517530

Calendar   Last Updated:  2008-12-26
  Certification Date: 

Details

Name Value
NPI 1659517530
Enumeration Date 2008-12-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 2300 MCCUE RD APT 262
HOUSTON, TX 77056-4638
United States

Phone: 281-701-4666 | Fax: 713-552-0496
View Map External Link
Primary Practice Address 2300 MCCUE RD APT 262
HOUSTON, TX 77056-4638
United States

Phone: 281-701-4666 | Fax: 713-552-0496
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TX 19937