MEDICARE: MR. WILLIAM A. TICE

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
1	163WC1500X	Community Health Registered Nurse		OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821274226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM A. TICE

Provider Business Mailing Address
First Line	:	438 SW COURT ST
Second Line	:
City	:	DALLAS
State	:	OR
Zip	:	97338-1808
Country	:	US
Telephone Number	:	503-623-5984
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 SW COURT ST
Second Line	:
City	:	DALLAS
State	:	OR
Zip	:	97338-1808
Country	:	US
Telephone Number	:	503-623-5984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	01/15/2008

Similar Medicare Providers

1154322386 — DR. KENNETH A AUSLOOS M. D.
Practice Location Address:

3600 GASTON AVE
DALLAS, TX
75246-1808

Practice Phone: 214-824-8521
Practice Fax: 214-827-8840

1902808827 — DR. ROBERT D BLACK M.D.
Practice Location Address:

3600 GASTON AVENUE , SUITE 806
DALLAS, TX
75246-1808

Practice Phone: 214-824-8521
Practice Fax: 214-827-8840

1881725752 — WEST TEXAS COUNSELING AND REHABILITATION OF DALLAS, INC.
Practice Location Address:

1808 MARKET CENTER BLVD
DALLAS, TX
75207-3315

Practice Phone: 214-630-7146
Practice Fax:

1629276621 — SUSAN W WILLIAMSON MD
Practice Location Address:

2011 CEDAR SPRINGS RD , SUITE 103
DALLAS, TX
75201-1808

Practice Phone: 214-521-9032
Practice Fax:

1477842896 — AARON M PIERCE MD
Practice Location Address:

3600 GASTON AVE STE 806
DALLAS, TX
75246-1808

Practice Phone: 214-824-8521
Practice Fax: 214-824-1988

1245737717 — MAIDEL REINA
Practice Location Address:

1808 S FAROLA DR
DALLAS, TX
75228-2541

Practice Phone: 214-451-7987
Practice Fax:

Directions to “ MR. WILLIAM A. TICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.