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Organization
RAINBOW CHILDREN'S CLINIC MAYFIELD, PA
Active
Organization
RAINBOW CHILDREN'S CLINIC MAYFIELD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BERNARDEZ-TAN M.D. (PRESIDENT/OWNER)
(682) 276-6700
Entity
Organization
Contact information
Practice address
1915 E MAYFIELD RD, SUITE 115, ARLINGTON, TX 76014-2604
(682) 276-6700
(682) 276-6049
Mailing address
1915 E MAYFIELD RD STE 115, ARLINGTON, TX 76014-2605
(682) 276-6700
(682) 276-6049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349462701
—
TX
Enumeration date
05/21/2015
Last updated
10/27/2016
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