Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 1018119 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 1018119 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 1018119 | TX |
NPI | 1013519966 |
---|---|
Provider Name | Courtney Erin Rice |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2020 |
Last Update Date | 09/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
420243401 | (05) | TX |