Provider Demographics
NPI:1942467931
Name:FULL CIRCLE OB/GYN PA
Entity Type:Organization
Organization Name:FULL CIRCLE OB/GYN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MILICENT
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:TRICHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-651-5000
Mailing Address - Street 1:902 NORMANDY ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4952
Mailing Address - Country:US
Mailing Address - Phone:713-651-5000
Mailing Address - Fax:713-651-5099
Practice Address - Street 1:902 NORMANDY ST
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4952
Practice Address - Country:US
Practice Address - Phone:713-651-5000
Practice Address - Fax:713-651-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty