=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902840606
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WILLIAM V RICE JR. MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2006
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2400 UNSER BLVD SE STE 08200
-----------------------------------------------------
City | RIO RANCHO
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87124-4740
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-253-6100
-----------------------------------------------------
Fax | 505-253-6296
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1837 PLYMOUTH RD
-----------------------------------------------------
City | MANHATTAN
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66503-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-449-3311
-----------------------------------------------------
Fax | 785-239-7023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171000000X
-----------------------------------------------------
Taxonomy Name | Military Health Care Provider
-----------------------------------------------------
License Number | 01056629A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | MD2014-0874
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------