Provider Demographics
NPI:1093836496
Name:FRATES, RALPH CORYELL JR (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:CORYELL
Last Name:FRATES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 UNIVERSITY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3360
Mailing Address - Country:US
Mailing Address - Phone:713-664-5199
Mailing Address - Fax:
Practice Address - Street 1:800 BELL STREET
Practice Address - Street 2:SRM EMB4 061 SEA RIVER MARITIME INC MEDICAL DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-7497
Practice Address - Country:US
Practice Address - Phone:713-656-2426
Practice Address - Fax:713-656-1979
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011172208000000X
CAC326242080P0214X
TXE22052083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine