Rainbow Children'S Clinic, P.A. in Grand Prairie - Pediatrics
Rainbow Children'S Clinic, P.A. - NPI 1407021413
Rainbow Children'S Clinic, P.A. is a Pediatrics in Grand Prairie, Texas. Rainbow Children'S Clinic, P.A. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Rainbow Children'S Clinic, P.A. is 1407021413. The last update date is 2016-09-06.
Rainbow Children'S Clinic, P.A.'s current location address is 2985 S State Highway 360, Grand Prairie, Texas. You can contact this provider via phone number 9726021166 and fax number 9726021160. The mailing address for Rainbow Children'S Clinic, P.A. is 2985 S State Highway 360, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rainbow Children'S Clinic, P.A. |
|---|---|
| Address | 2985 S State Highway 360, Grand Prairie, Texas |
| Phone Number | 9726021166 |
| Fax Number | 9726021160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Tan Bernardez Ruth |
| Credentials | M.D. |
| Telephone Number | 9726021166 |
NPI Number Detail
| NPI Number | 1407021413 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2016-09-06 |
Provider Mailing Address Detail
| Address | 2985 S State Highway 360 |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750527615 |
| Phone Number | 9726021166 |
| Fax Number | 9726021160 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | J8913 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197309102 | TX | -- | |
| 197309101 | TX | -- | |
| 45321904 | TX | -- | |
| G19885 | TX | UPIN | |
| 45321903 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rainbow Children'S Clinic, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Rainbow Children'S Clinic, P.A. has been assigned the NPI (National Provider Identifier) 1407021413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Rainbow Children'S Clinic, P.A.'s facilities are geographically located?
The facilities of Rainbow Children'S Clinic, P.A. are physically situated at the following location: 2985 S State Highway 360, Grand Prairie, TX, 750527615.
What is Rainbow Children'S Clinic, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Rainbow Children'S Clinic, P.A.'s area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407021413 to Rainbow Children'S Clinic, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1407021413 to Rainbow Children'S Clinic, P.A. on 2008-04-30.
When was the information pertaining to Rainbow Children'S Clinic, P.A. most recently updated or revised?
The details related to Rainbow Children'S Clinic, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2016-09-06.
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