Healthcare Provider Details

I. General information

NPI: 1902840606
Provider Name (Legal Business Name): WILLIAM V RICE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/29/2025
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE STE 08200
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

1837 PLYMOUTH RD
MANHATTAN KS
66503-7502
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-6100
  • Fax: 505-253-6296
Mailing address:
  • Phone: 915-449-3311
  • Fax: 785-239-7023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number01056629A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD2014-0874
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: