Individual
LAURA Z RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7796
(210) 616-7799
Mailing address
8401 DATAPOINT, SUITE 600, P. O. BOX 29441, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
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
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