Provider Demographics
NPI:1699061945
Name:RICE, MARGARITA ANGELA (FNP, PMHNP)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:ANGELA
Last Name:RICE
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3803
Mailing Address - Country:US
Mailing Address - Phone:682-708-6366
Mailing Address - Fax:682-224-8832
Practice Address - Street 1:950 N MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3803
Practice Address - Country:US
Practice Address - Phone:682-708-6366
Practice Address - Fax:682-224-8832
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120435363LF0000X, 363LP0808X
WAAP61257557363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX328510807Medicaid
TX328510801Medicaid
TX328510806Medicaid
TX8544NFOtherBCBS
TX328510805Medicaid
TX328286YKP5Medicare PIN
TX328286YKPWMedicare PIN
TX8544NFOtherBCBS
TX328510806Medicaid