Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rainbow Children's Clinic, PA

Organization Pediatrics Physician · NPI 1407021413

Rainbow Children's Clinic, PA provides Pediatrics Physician services in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2985 S State Highway 360 Ste 140
Grand Prairie, TX 75052-7615 Not confirmed with CMS for 10 years — call before visiting
Phone: (972) 602-1166
Fax: (972) 602-1160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence J8913 (TX)

Record details

NPI number1407021413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Tan — President/Owner · (972) 602-1166
NPI enumeratedApril 30, 2008
Last updated in NPPESSeptember 6, 2016
Mailing address2985 S State Highway 360, Suite 140, Grand Prairie, TX 75052-7615

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