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RAINBOW CHILDREN'S CLINIC MAYFIELD PA NPI 1598144768


NPI Information

NPI: 1598144768
Provider Name: RAINBOW CHILDREN'S CLINIC MAYFIELD, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2111680

Address:
1915 E MAYFIELD RD
SUITE 115
ARLINGTON, TX
ZIP 76014
Phone: (682) 276-6700
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RAINBOW CHILDREN'S CLINIC MAYFIELD, PA is a pediatrics in Arlington, TX. The provider is a pediatrician 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. RAINBOW CHILDREN'S CLINIC MAYFIELD, PA NPI is 1598144768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1915 E MAYFIELD RD
SUITE 115
ARLINGTON, TX
ZIP 76014-604
Phone: (682) 276-6700
Fax: (682) 276-6049

The provider's authorized official is Ruth Bernardez-tan .
The authorized official title is President/owner and has the following contact phone number (682) 276-6700.

The CLIA number assigned to this NPI record is 45D2111680 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 10/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsJ8913TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1349462701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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