Organization
RAINBOW SHOWER INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MITCHELL MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 691-5048
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2014
Last updated
09/11/2019
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