ANDREW TICE (NPI# 1700334216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700334216 |
| Entity Type | Individual |
| Full Name | ANDREW TICE |
| Credential | MD |
| Practice Address |
2222 Welborn St Dallas TX 75219-3924 |
| Practice Telephone | 2145595000 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | BP10056100 | TX | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197579 | Andrew Tice | Otolaryngology | 1136 Jackson Springs Rd, Macon, GA 31211-1435 | 2006-01-05 |
| Street Address |
2222 WELBORN ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982988 | Jean Oldham Wall | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2005-06-15 |
| 1730796137 | Carissa Stoddard | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-29 |
| 1831704949 | Ronni Lee Rowe | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-15 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
| 1033767611 | Christine Grohs Agerlid | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-08-28 |
| 1669026050 | Kristen Anne Lord | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-24 |
| 1023660545 | Lindsay Chiu | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-15 |
| 1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| 1952963589 | Elissa Rae Curtis | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1114536331 | Victor Liaw | Student in an Organized Health Care Education/Training Program | 5233 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1285243469 | Tommy Tan | Student in an Organized Health Care Education/Training Program | 5226 Fleetwood Oaks Ave Apt 114, Dallas, TX 75235-8105 | 2020-07-23 |
| 1982213138 | Sophia Cosmich | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5325 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-23 |
| 1093323552 | Joshua D Cox | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4315, Dallas, TX 75235-8054 | 2020-07-21 |
| 1386252997 | Johnston Bartlett Norton | Student in an Organized Health Care Education/Training Program | 4214 Rawlins St Apt 116, Dallas, TX 75219-2738 | 2020-07-20 |
| 1063020014 | Bilaal Hassan | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harry Hines Blvd D, Dallas, TX 75390-0001 | 2020-07-15 |
| 1255959805 | Richard Tanner Hardy | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical Center 5323 Harr Hines Blvd, Dallas, TX 75390-0001 | 2020-07-09 |
| 1902424534 | Paula Marie Mofor | Student in an Organized Health Care Education/Training Program | Ut Southwestern Medical School 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-07-09 |
| 1912525015 | Yasmeen Jordan Alayli | Student in an Organized Health Care Education/Training Program | 4606 Cedar Springs Rd Apt 924, Dallas, TX 75219-7205 | 2020-07-06 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.