Provider Demographics
NPI:1184382111
Name:ALLISON RATHMANN
Entity type:Organization
Organization Name:ALLISON RATHMANN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:832-932-5229
Mailing Address - Street 1:400 W MEDICAL CENTER BLVD STE 245
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4227
Mailing Address - Country:US
Mailing Address - Phone:832-932-5229
Mailing Address - Fax:
Practice Address - Street 1:400 W MEDICAL CENTER BLVD STE 245
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4227
Practice Address - Country:US
Practice Address - Phone:973-943-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty