Healthcare Provider Details

I. General information

NPI: 1346521853
Provider Name (Legal Business Name): CHRISTION GREGORY RICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 E PALM VALLEY BLVD
ROUND ROCK TX
78665-4538
US

IV. Provider business mailing address

5601 OCEAN DR
CORPUS CHRISTI TX
78412-2751
US

V. Phone/Fax

Practice location:
  • Phone: 512-255-0911
  • Fax:
Mailing address:
  • Phone: 956-802-6422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberP0784
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: