Provider Demographics
NPI:1285178509
Name:PHYSICIAN ACUTE CARE SERVICES RICE VILLAGE, PLLC
Entity Type:Organization
Organization Name:PHYSICIAN ACUTE CARE SERVICES RICE VILLAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-653-3200
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:NEW WAVERLY
Mailing Address - State:TX
Mailing Address - Zip Code:77358-0190
Mailing Address - Country:US
Mailing Address - Phone:328-653-3200
Mailing Address - Fax:713-808-9176
Practice Address - Street 1:2500 RICE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3221
Practice Address - Country:US
Practice Address - Phone:713-527-4400
Practice Address - Fax:713-527-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Q5Z4OtherBLUE CROSS BLUE SHIELD