Individual
LAURA Z RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q6693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3520900-01
—
TX
05
—
3520900-02
—
TX
05
—
3520900-03
—
TX
01
—
P01577350
RAILROAD MEDICARE
TX
01
—
P01577827
RAILROAD MEDICARE
TX
01
—
Q6693
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/27/2006
Last updated
03/08/2016
Update your record
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