Provider Demographics
NPI:1841218237
Name:RICE, MICHEAL TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHEAL
Middle Name:TODD
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TAYLOR PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7735
Mailing Address - Country:US
Mailing Address - Phone:817-680-5071
Mailing Address - Fax:
Practice Address - Street 1:1901 ENCORE WAY
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72019-8896
Practice Address - Country:US
Practice Address - Phone:501-213-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9871207L00000X
ARE-14999207L00000X
PAMD467906207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103647703Medicaid
TXP00662053OtherRAIL ROAD
TX8X1990OtherBCBS
TN182941802Medicaid
TX182941803OtherMEDICAID CSHCN