Individual
MICHAEL VAN RAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3916
(214) 648-8423
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-3916
(214) 648-8423
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
N4018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197459
—
LA
Enumeration date
12/28/2005
Last updated
10/21/2014
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