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Individual

DR. ERNEST THOMAS BICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

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
1223G0001X
General Practice Dentistry
Primary
17059
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00191100
UNITED CONCORDIA
TX
01
D17059
BC/BS PROVIDER ID
TX
01
G60093-01
TEXAS CHIP PROVIDER ID
TX
Enumeration date
08/29/2006
Last updated
07/08/2007
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