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General NPI Number Information
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NPI Number | 1770961773
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Entity Type | Organization
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Legal Business Name | RAINBOW CLINICAL CARE GROUP, PLLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2440 TEXAS PKWY
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City | MISSOURI CITY
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State | TX
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Zip | 77489-4000
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Country | US
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Telephone | 713-258-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 SOUTHWEST FWY # 250A
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City | HOUSTON
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State | TX
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Zip | 77074-1510
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Country | US
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Telephone | 713-258-3150
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CARLOS ALLEN SMITH
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Credential |
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Telephone | 713-258-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 34929
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License Number State | TX
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