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Individual
JUSTIN DOUGLAS RICE
Active
Individual
JUSTIN DOUGLAS RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4700
TX
208M00000X
Hospitalist Physician
Primary
N4700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID
TX
05
—
907544
—
TX
Enumeration date
05/07/2008
Last updated
07/21/2022
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