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NPI Code Detail

MEDICARE: RICE NUCLEAR DIAGNOSTICS, L.P.

MEDICARE: RICE NUCLEAR DIAGNOSTICS, L.P.
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
12085R0202XDiagnostic Radiology PhysicianR29080TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10424DCOTHERTXBC/BS OF TEXAS PROVIDER #

General Provider Information

NPI Number : 1205868387
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICE NUCLEAR DIAGNOSTICS, L.P.
Provider Business Mailing Address
First Line : 1414 S. LOOP WEST
Second Line : SUITE 120
City : HOUSTON
State : TX
Zip : 77054-3825
Country : US
Telephone Number : 713-796-2752
Fax Number : 713-796-2750
Provider Business Practice Location Address
First Line : 1414 SOUTH LOOP W
Second Line : SUITE 120
City : HOUSTON
State : TX
Zip : 77054-3825
Country : US
Telephone Number : 713-796-2752
Fax Number : 713-796-2750
Authorized Official
Title or Position : ADM.
Name : MR. JOHN DELBOSQUE
Credential :
Telephone Number : 713-796-2752
Provider Enumeration Date : 07/07/2006
Last Update Date : 05/02/2013

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