Kellum Robert Tice, NP

Nurse Practitioner · Cypress, TX

Individual Active NPI

NPI number 1295098085

Practice location

21214 Northwest FWY
Cypress, TX 77429-3373
Phone
(832) 912-3500

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NPI record

NPI
1295098085
Entity type
Individual (Type 1)
Enumeration date
June 18, 2012
Last updated
June 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 730287 TX

Mailing address

9301 S Western Ave
Oklahoma City, OK 73139-2767
Phone
(866) 321-8433

About Kellum Tice

Kellum Robert Tice, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 21214 Northwest FWY, Cypress, TX 77429-3373. The NPI number 1295098085 was assigned on June 18, 2012 and the record was last updated on June 19, 2012.

Kellum Tice lists a license in the registry: #730287 (TX) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellum Robert Tice, NP?

The NPI number is 1295098085.

What is the phone number of Kellum Tice?

The phone number listed for the practice location is (832) 912-3500.

Where is Kellum Tice located?

21214 Northwest FWY, Cypress, TX 77429-3373.

What is the taxonomy code for Kellum Tice?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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