RAINBOW CHILDREN'S CLINIC, P.A.
Medical Practice at State Highway 360, Grand Prairie, TX

License number
Texas J8913
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. RUTH BERNARDEZ TAN M.D.
Title: PRESIDENT/OWNER
Phone: (972) 602-1166
Address
Address
2985 S State Highway 360 SUITE 140, Grand Prairie, TX 75052
National Provider ID: 1407021413
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RAINBOW CHILDREN'S CLINIC, P.A. at bizstanding.com

RAINBOW CHILDREN'S CLINIC PA

2985 S State Hwy 360 STE 140, Grand Prairie, TX 75052

Industry:
Medical Doctor's Office
Doing business as:
Rainbow Children's Clinic PA
Registration:
Aug 22, 2003
State ID:
0800238417
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary:
Ruth A. Bernardez-Tan (President , Treasurer , Director , Member , Secretary)
Agent:
J. Michael Waters Jr,2000 E Lamar Blvd SUITE 500, Arlington, TX 76006 (Physical)
TIN:
17531233199

Medical Practice licenses in Texas










Other Doctors licenses in Texas