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RAINBOW CHILDREN'S CLINIC P.A. NPI 1174828289


NPI Information

NPI: 1174828289
Provider Name: RAINBOW CHILDREN'S CLINIC, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2017373

Address:
1900 BALLPARK WAY
STE 106
ARLINGTON, TX
ZIP 76006
Phone: (817) 704-7339
Get Directions

RAINBOW CHILDREN'S CLINIC, P.A. 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, P.A. NPI is 1174828289. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 BALLPARK WAY
STE 106
ARLINGTON, TX
ZIP 76006-610
Phone: (817) 704-7339
Fax: (682) 558-8008

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

The CLIA number assigned to this NPI record is 45D2017373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2011 and was last updated on 10/26/2016.


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
1208000000XPediatricsTEXASYes

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
1G19885OTHERTEXASUPIN
2218565402MEDICAIDTEXAS
3218565401MEDICAIDTEXAS
4045321904MEDICAIDTEXAS
5218565403MEDICAIDTEXAS
6045321903MEDICAIDTEXAS

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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