Provider Demographics
NPI:1003819285
Name:RICE, ROBERT ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HAVEN FOR HOPE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-1266
Mailing Address - Country:US
Mailing Address - Phone:210-220-2361
Mailing Address - Fax:210-220-2499
Practice Address - Street 1:1 HAVEN FOR HOPE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-1266
Practice Address - Country:US
Practice Address - Phone:102-220-2368
Practice Address - Fax:210-220-2499
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-03-03
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Provider Licenses
StateLicense IDTaxonomies
TXG7708207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123988101Medicaid
TXD38138Medicare UPIN
TX123988101Medicaid