Individual
ANDREW TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10056100
TX
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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