Provider Demographics
NPI:1063711323
Name:SIAS, TRICIA BLAIR (MD)
Entity type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:BLAIR
Last Name:SIAS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2200 VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3327
Mailing Address - Country:US
Mailing Address - Phone:972-317-6000
Mailing Address - Fax:972-317-6011
Practice Address - Street 1:2200 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3327
Practice Address - Country:US
Practice Address - Phone:972-317-6000
Practice Address - Fax:972-317-6011
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP97342080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine