Rainbow Children's Clinic, P.a.
Pediatrics
Rainbow Children's Clinic, P.a. is a Grand Prairie, Texas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2985 S State Highway 360, Suite 140, Grand Prairie, Texas - 75052-7615. They can be contacted on phone at
972-602-1166 and fax number 972-602-1160.
NPI number (Unique professional ID) for Rainbow Children's Clinic, P.a. is
1407021413 which was assigned by NPPES on 30 Apr, 2008 and it was last updated on 06 Sep, 2016.
Rainbow Children's Clinic, P.a. license number is
J8913 for Pediatrics (208000000X) in Texas.
Rainbow Children's Clinic, P.a. is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Rainbow Children's Clinic, P.a. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Rainbow Children's Clinic, P.a. |
|---|
Business Address:
Rainbow Children's Clinic, P.a. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2985 S State Highway 360, Suite 140
Grand Prairie, TX, 75052-7615
United States |
|---|
| Phone Number : | 972-602-1166 |
|---|
| Fax Number : | 972-602-1160 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407021413 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 30 Apr, 2008 |
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| Last Updated On : | 06 Sep, 2016 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Ruthbernardez Tan |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT/OWNER |
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| Phone Number : | 972-602-1166 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rainbow Children's Clinic, P.a. are as mentioned. Primary taxonomy code for Rainbow Children's Clinic, P.a. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | J8913 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Rainbow Children's Clinic, P.a. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 045321904 | MEDICAID | TX | |
| 045321903 | MEDICAID | TX | |
| G19885 | Other | TX | UPIN |
| 197309102 | MEDICAID | TX | |
| 197309101 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2985 S State Highway 360, Suite 140
Grand Prairie, TX, 75052-7615
United States |
|---|
| Phone Number : | 972-602-1166 |
|---|
| Fax Number : | 972-602-1160 |
|---|
Business Location:
Patients can refer following map for directions to
Rainbow Children's Clinic, P.a. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.