Provider Demographics
NPI:1194957696
Name:MICHELLE G BARCIO, M.D., P.A.
Entity type:Organization
Organization Name:MICHELLE G BARCIO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:BARCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-586-0483
Mailing Address - Street 1:14003 COURT OF REGENTS
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1941
Mailing Address - Country:US
Mailing Address - Phone:281-586-0483
Mailing Address - Fax:832-559-3718
Practice Address - Street 1:10130 LOUETTA RD
Practice Address - Street 2:STE G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2118
Practice Address - Country:US
Practice Address - Phone:281-440-4089
Practice Address - Fax:832-559-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6776174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI20808Medicare UPIN
TX8C79535Medicare PIN