Ice, Dennis A
Ice, Dennis A is an individual health care provider with primary practice located at 11 Medical Drive , Amarillo TX 79106-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Ice, Dennis A can be contacted via phone (806) 353-6400.Contact Information
Primary practice address
11 Medical Drive
Amarillo TX 79106-1781
Phone: (806) 353-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | K0068 | Texas |
Profile Details
| NPI number | 1891801049 |
|---|---|
| LBN Legal business name | Ice, Dennis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891801049 | NPPES |
| Texas | Other | 115738101 | SOUTHWEST LIFE & HEALTH |
| Texas | MEDICAID | 148784502 | SOUTHWEST LIFE & HEALTH |
| Texas | Other | 8Z0461 | SOUTHWEST LIFE & HEALTH |
| Texas | Other | 115738101 | SOUTHWEST LIFE & HEALTH |
| Texas | Other | P00045527 | SOUTHWEST LIFE & HEALTH |
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