Provider Demographics
NPI:1437253093
Name:SHAW-RICE, JUDI (MD, FACP, MMM, CPE)
Entity Type:Individual
Prefix:DR
First Name:JUDI
Middle Name:
Last Name:SHAW-RICE
Suffix:
Gender:F
Credentials:MD, FACP, MMM, CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 ELDRIDGE PKWY STE 300-342
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1771
Mailing Address - Country:US
Mailing Address - Phone:713-665-7423
Mailing Address - Fax:281-920-2600
Practice Address - Street 1:1127 ELDRIDGE PKWY STE 300-342
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1771
Practice Address - Country:US
Practice Address - Phone:713-665-7423
Practice Address - Fax:281-920-2600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1134207RA0000X, 207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2087Medicare PIN
TXF37374Medicare UPIN