Provider Demographics
NPI:1821163387
Name:RATH, ALBERT E JR (MD, PA)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:E
Last Name:RATH
Suffix:JR
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7264207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035308801Medicaid
TXC20877Medicare UPIN
TX035308801Medicaid