1437333010 NPI number — MRS. ASHLEY MARIE BRICE R.D./L.D.

Table of content: MRS. ASHLEY MARIE BRICE R.D./L.D. (NPI 1437333010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437333010 NPI number — MRS. ASHLEY MARIE BRICE R.D./L.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRICE
Provider First Name:
ASHLEY
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.D./L.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HICKS
Provider Other First Name:
ASHLEY
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.D./L.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437333010
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2121 SPUR CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76210-3336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-535-1347
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2002 E ROBINSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORMAN
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73071-7420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-307-2814
Provider Business Practice Location Address Fax Number:
405-307-2801
Provider Enumeration Date:
12/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  1536 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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