Individual
JUSTIN DOUGLAS RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Mailing address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4700
TX
208M00000X
Hospitalist Physician
Primary
N4700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID
TX
05
—
907544
—
TX
Enumeration date
05/07/2008
Last updated
07/21/2022
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