Provider Demographics
NPI:1467479055
Name:RICE MEDICAL ASSOCITATION
Entity type:Organization
Organization Name:RICE MEDICAL ASSOCITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-234-2551
Mailing Address - Street 1:610 S AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:77434-3202
Mailing Address - Country:US
Mailing Address - Phone:979-234-2551
Mailing Address - Fax:
Practice Address - Street 1:610 S AUSTIN RD
Practice Address - Street 2:
Practice Address - City:EAGLE LAKE
Practice Address - State:TX
Practice Address - Zip Code:77434-3202
Practice Address - Country:US
Practice Address - Phone:979-234-2551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty