Provider Demographics
NPI:1104906528
Name:RICE, TERRY W (MD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:W
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 OVERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4038
Mailing Address - Country:US
Mailing Address - Phone:713-877-1805
Mailing Address - Fax:713-877-1805
Practice Address - Street 1:3838 OVERBROOK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4038
Practice Address - Country:US
Practice Address - Phone:713-877-1805
Practice Address - Fax:713-877-1805
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157612605Medicaid
TX157612605Medicaid
TX8B2415Medicare PIN
TXPO0114864Medicare PIN