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Organization
SU CLINICA FAMILIAR
Active
Organization
SU CLINICA FAMILIAR
Active
Other names
SOUTHERN CAMERON COUNTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA MARIN MD (EXECUTIVE DIRECTOR)
(956) 365-6750
Entity
Organization
Contact information
Practice address
4000 FM 511, BROWNSVILLE, TX 78526-9492
(956) 838-6346
(956) 831-3285
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
A07099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4564527
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
08/22/2020
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