Provider Demographics
NPI:1174727945
Name:O'BRIEN, TRICIA J (MD)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:J
Last Name:O'BRIEN
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 1:8641 5TH ST
Mailing Address - Street 2:SUITE W8
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4290
Mailing Address - Country:US
Mailing Address - Phone:214-631-9321
Mailing Address - Fax:888-975-4204
Practice Address - Street 1:8641 5TH ST
Practice Address - Street 2:SUITE W8
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4290
Practice Address - Country:US
Practice Address - Phone:214-631-9321
Practice Address - Fax:888-975-4204
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1504208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice