# SIDDHARTHA RATH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386119576
- **Authorized official:** SIDDHARTHA RATH MD (OWNER)
- **Authorized official phone:** (661) 203-4304

## Contact information

- **Practice address:** 3215 OMEGA DR, ARLINGTON, TX 76014-2006
- **Practice address phone:** (661) 203-4304
- **Mailing address:** 204 STOCKTON DR, SOUTHLAKE, TX 76092-2224
- **Mailing address phone:** (661) 203-4304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 05/17/2021