# E. THOMAS BICE, JR., D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831366400
- **Authorized official:** DR. ERNEST THOMAS BICE D.D.S., P.A. (DENTIST/OWNER)
- **Authorized official phone:** (210) 435-4601

## Contact information

- **Practice address:** 4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
- **Practice address phone:** (210) 435-4601
- **Practice address fax:** (210) 435-7131
- **Mailing address:** 4496 CALLAGHAN RD, SAN ANTONIO, TX 78228-3400
- **Mailing address phone:** (210) 435-4601
- **Mailing address fax:** (210) 435-7131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17059 | TX | Yes |
| 122300000X | Dentist | 9277 | TX | — |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008

## 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 |