Provider Demographics
NPI:1861558611
Name:RICE, RICHARD MILES (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MILES
Last Name:RICE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3637
Mailing Address - Country:US
Mailing Address - Phone:972-438-6800
Mailing Address - Fax:972-255-0905
Practice Address - Street 1:3636 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3637
Practice Address - Country:US
Practice Address - Phone:972-438-6800
Practice Address - Fax:972-255-0905
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001078701Medicaid
TX001078701Medicaid
TXT15528Medicare UPIN