Provider Demographics
NPI:1184632275
Name:JAMES TRICE M.D.P.A.
Entity Type:Organization
Organization Name:JAMES TRICE M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-536-3070
Mailing Address - Street 1:PO BOX 25306
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-5306
Mailing Address - Country:US
Mailing Address - Phone:870-536-3070
Mailing Address - Fax:870-536-3171
Practice Address - Street 1:7005 S HAZEL ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-7833
Practice Address - Country:US
Practice Address - Phone:870-536-3070
Practice Address - Fax:870-536-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-7759207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty