Provider Demographics
NPI:1275546772
Name:RICE, DIANA L (PA)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:RICE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:9301 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0806
Mailing Address - Country:US
Mailing Address - Phone:214-220-2468
Mailing Address - Fax:214-397-1555
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-220-2468
Practice Address - Fax:214-397-1555
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2020-05-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N4237OtherBLUE CROSS BLUE SHILED
TXQ14589Medicare UPIN
TX8B6595Medicare PIN