Individual
DR. PAUL ALBERT RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 510-8840
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP2-0026303
TX
207X00000X
Orthopaedic Surgery Physician
Primary
N5354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283631401
—
TX
05
—
283631402
—
TX
01
—
3819141142
MYUTMB 3819141142-COMMERCIAL NUMBER
—
01
—
752616977021
TRICARE
TX
01
—
8CS675
BCBS
TX
Enumeration date
06/14/2007
Last updated
10/13/2014
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