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Organization
RAINBOW CHILDREN'S CLINIC, P.A.
Active
Organization
RAINBOW CHILDREN'S CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH BERNARDEZ- TAN M.D. (PEDIATRICS)
(682) 276-6700
Entity
Organization
Contact information
Practice address
1900 BALLPARK WAY, STE 106, ARLINGTON, TX 76006-6610
(817) 704-7339
(682) 558-8008
Mailing address
1900 BALLPARK WAY, SUITE 106, ARLINGTON, TX 76006-6610
(817) 704-7339
(682) 558-8008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045321903
—
TX
05
—
045321904
—
TX
05
—
218565401
—
TX
05
—
218565402
—
TX
05
—
218565403
—
TX
01
—
G19885
UPIN
TX
Enumeration date
01/20/2011
Last updated
10/26/2016
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