Tice, Kellum Robert
Tice, Kellum Robert is an individual health care provider with primary practice located at 21214 Northwest Fwy , Cypress TX 77429-3373. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Tice, Kellum Robert can be contacted via phone (832) 912-3500.Contact Information
Primary practice address
21214 Northwest Fwy
Cypress TX 77429-3373
Phone: (832) 912-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 730287 | Texas |
Profile Details
| NPI number | 1295098085 |
|---|---|
| LBN Legal business name | Tice, Kellum Robert |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Jun 19th, 2012 - about 13 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.
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