DR. Jack Wallace Rice, DO

NPI #1548424898 in Lindale, Texas

Provider Information

NPI Number: 1548424898
Entity Type: Individual
Name: DR. Jack Wallace Rice, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 16, 2008
Last Updated: Jul 16, 2008

Practice Location

Address: 20044 FM 16 W
City: Lindale
State: Texas
ZIP Code: 75771
Phone: (903) 882-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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