Provider Demographics
NPI:1366518136
Name:RICE, DEBORAH G (MSN, APRN, BC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:G
Last Name:RICE
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-5815
Mailing Address - Country:US
Mailing Address - Phone:866-612-5090
Mailing Address - Fax:866-612-5090
Practice Address - Street 1:6363 N STATE HIGHWAY 161
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2269
Practice Address - Country:US
Practice Address - Phone:469-200-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-25
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM67228363LG0600X
TXAP104526363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150419301Medicaid
TXNP8057OtherBCBS PROVIDER NUMBER
TX00238TMedicare ID - Type UnspecifiedPROVIDER NUMBER
TXNP8057OtherBCBS PROVIDER NUMBER
TX150419301Medicaid