Healthcare Provider Details
I. General information
NPI: 1932411220
Provider Name (Legal Business Name): JAMES H. RICE, M.D.,PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2010
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4700 JEFFERSON BLVD NW SUITE 700
ALBUQUERQUE NM
87109-2132
US
IV. Provider business mailing address
4700 JEFFERSON BLVD NW SUITE 700
ALBUQUERQUE NM
87109-2132
US
V. Phone/Fax
- Phone: 505-881-5080
- Fax: 505-872-2306
- Phone: 505-881-5080
- Fax: 505-872-2306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 90-100 |
| License Number State | NM |
VIII. Authorized Official
Name: DR.
JAMES
HOWARD
RICE
Title or Position: OWNER
Credential: M.D.
Phone: 505-881-5080