Rainbow Children's Clinic 3, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J8913 Issued in TX

Legal business name

RAINBOW CHILDREN'S CLINIC 3, P.A.

Practice address

929 W Pioneer Pkwy Ste a
Grand Prairie, TX 75051-4726

Phone

(972) 641-3364

NPI assigned

May 1, 2013

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ruth Bernardez-Tan, MD

Title

Pediatrician/Owner

Phone

(972) 642-3364

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1548605835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W PIONEER PKWY STE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514726",
            "telephone_number": "972-641-3364",
            "fax_number": "972-641-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W PIONEER PKWY STE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514726",
            "telephone_number": "972-641-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CHILDREN'S CLINIC 3, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "BERNARDEZ-TAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PEDIATRICIAN/OWNER",
        "authorized_official_telephone_number": "972-642-3364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3163081-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quick Transport
• R.E.a.C.T. Initiative, Inc.
• Raba Medical Solutions
• Radiance Health Services, LLC
• Natalie Rafiel, BCBA
• Rainbow Children's Clinic, P.a.
• Manisha Raja, MD
• Andres Enrique Ramirez, RN
• Clementino Ramirez Jr., PT
• Mychael Ray Ramirez, PT

• Pediatrics Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.