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General NPI Number Information
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NPI Number | 1093836496
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Entity Type | Individual
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Provider Name | RALPH CORYELL FRATES JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 800 BELL STREET SRM EMB4 061 SEA RIVER MARITIME INC MEDICAL DEPARTMENT
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City | HOUSTON
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State | TX
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Zip | 77002-7497
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Country | US
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Telephone | 713-656-2426
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Fax | 713-656-1979
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Provider Business Mailing Address
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Address Line | 3602 UNIVERSITY BOULEVARD
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City | HOUSTON
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State | TX
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Zip | 77005-3360
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Country | US
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Telephone | 713-664-5199
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 011172
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | C32624
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | E2205
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License Number State | TX
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