Individual
MARY F. ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17080 RED OAK DR, HOUSTON, TX 77090-2602
(281) 880-6991
Mailing address
714 FM 1960 RD W, SUITE 206, HOUSTON, TX 77090-3405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K7441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519159-04
—
TX
01
—
P00303832
RAILROAD MEDICARE
TX
Enumeration date
01/05/2006
Last updated
03/19/2009
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