Provider Demographics
NPI:1851394068
Name:BARCIO, MICHELLE G (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:G
Last Name:BARCIO
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 1:14003 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:281-440-4089
Mailing Address - Fax:
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:77070-2116
Practice Address - Country:US
Practice Address - Phone:281-440-4089
Practice Address - Fax:832-559-3718
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2016-08-30
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
TXL6776174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FX415OtherBLUE CROSS BLUE SHIELD
TX179578303Medicaid
TX179578302Medicaid
TX179578302Medicaid
TXI20808Medicare UPIN
TX501563ZSWDMedicare PIN