Provider Demographics
NPI:1538151865
Name:BROWN, TRICIA J (MD)
Entity type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10845 KUYKENDAHL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2939
Mailing Address - Country:US
Mailing Address - Phone:832-871-4111
Mailing Address - Fax:832-871-4112
Practice Address - Street 1:10845 KUYKENDAHL RD STE 103
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2939
Practice Address - Country:US
Practice Address - Phone:832-871-4111
Practice Address - Fax:832-871-4112
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7669207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7466407OtherAETNA
TX7466407OtherAETNA
TX8AJ925OtherBLUE CROSS/BLUE SHIELD
TX0047JPOtherBLUE CROSS/BLUE SHIELD
TX7466407OtherAETNA
TXH81382Medicare UPIN