Provider Demographics
NPI:1083050702
Name:RICE, MANDY LYN (DO)
Entity type:Individual
Prefix:DR
First Name:MANDY
Middle Name:LYN
Last Name:RICE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:200 TAYLOR PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7735
Mailing Address - Country:US
Mailing Address - Phone:501-359-3793
Mailing Address - Fax:501-359-3807
Practice Address - Street 1:1401 MALVERN AVE STE 274
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6371
Practice Address - Country:US
Practice Address - Phone:501-359-3793
Practice Address - Fax:501-359-3807
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2024-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-151002086S0102X, 208600000X
TXU75032086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care