Provider Demographics
NPI:1659663169
Name:ALBERT E RATH JR MD P A
Entity Type:Organization
Organization Name:ALBERT E RATH JR MD P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:RATH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:830-625-7714
Mailing Address - Street 1:274 E GARZA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4125
Mailing Address - Country:US
Mailing Address - Phone:830-625-7714
Mailing Address - Fax:830-625-7009
Practice Address - Street 1:274 E GARZA ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4125
Practice Address - Country:US
Practice Address - Phone:830-625-7714
Practice Address - Fax:830-625-7009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7264207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00P940OtherMEDICARE PTAN
TX035308801Medicaid
TX00P940OtherMEDICARE PTAN