Individual
KELLY THURSTON RATHEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 W STATE HIGHWAY 46, NEW BRAUNFELS, TX 78132-5245
(830) 643-7000
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
S8104
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2015
Last updated
03/14/2022
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