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NPI Code Detail

MEDICARE: THOMAS DAVID RICE DDS

MEDICARE: THOMAS DAVID RICE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry33348TX

General Provider Information

NPI Number : 1447772793
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS DAVID RICE DDS
Provider Business Mailing Address
First Line : 4114 MEDICAL DR APT 23106
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-5668
Country : US
Telephone Number : 817-944-4984
Fax Number :
Provider Business Practice Location Address
First Line : 109 E AVENUE J
Second Line :
City : ROBSTOWN
State : TX
Zip : 78380-2347
Country : US
Telephone Number : 361-248-1192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2017
Last Update Date : 11/27/2018

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Directions to “ THOMAS DAVID RICE DDS” Practice Location

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