Organization
KURT W RATHJEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA FOUNTIAN (BILLING DIRECTOR)
(214) 369-8555
Entity
Organization
Contact information
Practice address
411 N WASHINGTON AVE, SUITE 7500, DALLAS, TX 75246-1713
(214) 824-4866
Mailing address
PO BOX 660046, DALLAS, TX 75266-0046
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025HW
BCBS
TX
05
—
153453901
—
TX
Enumeration date
07/29/2006
Last updated
05/15/2008
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