Organization
E. THOMAS BICE, JR., D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST THOMAS BICE D.D.S., P.A. (DENTIST/OWNER)
(210) 435-4601
Entity
Organization
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
122300000X
Dentist
Primary
17059
TX
122300000X
Dentist
9277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00191100
UNITED CONCORDIA
TX
01
—
00704262
UNITED CONCORDIA
TX
05
—
007987301
—
TX
01
—
00M240
BC/BS
TX
05
—
090184502
—
TX
01
—
B09277
TEXAS CHIP
TX
01
—
D17059
BC/BS
TX
01
—
G-60093
TEXAS CHIP
TX
Enumeration date
05/13/2008
Last updated
05/13/2008
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