NPI: 1548605835 · GRAND PRAIRIE, TX 75051 · Pediatrics Physician · NPI assigned 05/01/2013
| Authorized Official | BERNARDEZ-TAN, RUTH (PEDIATRICIAN/OWNER) |
| NPI Enumeration Date | 05/01/2013 |
Other providers sharing the same authorized official: BERNARDEZ-TAN, RUTH
| Provider | City | State | Total Paid |
|---|---|---|---|
| RAINBOW CHILDREN'S CLINIC MAYFIELD, PA | ARLINGTON | TX | $11.57M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 32 | 25 | $2K |