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Organization
E. THOMAS BICE, JR., D.D.S., P.A.
Active
Organization
E. THOMAS BICE, JR., D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST THOMAS BICE D.D.S., P.A. (DENTIST/OWNER)
(210) 435-4601
Entity
Organization
Contact information
Practice address
4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
(210) 435-4601
(210) 435-7131
Mailing address
4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
(210) 435-4601
(210) 435-7131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17059
TX
122300000X
Dentist
9277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00191100
UNITED CONCORDIA
TX
01
—
00704262
UNITED CONCORDIA
TX
05
—
007987301
—
TX
01
—
00M240
BC/BS
TX
05
—
090184502
—
TX
01
—
B09277
TEXAS CHIP
TX
01
—
D17059
BC/BS
TX
01
—
G-60093
TEXAS CHIP
TX
Enumeration date
05/13/2008
Last updated
05/13/2008
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