# SUCLINICA FAMILIAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SU CLINICA FAMILIAR DENTAL CSHCN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497803449
- **Authorized official:** MR. ADAM SALDIVAR CFO (CFO)
- **Authorized official phone:** (956) 365-6750

## Contact information

- **Practice address:** 1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
- **Practice address phone:** (956) 365-6750
- **Practice address fax:** (956) 365-6779
- **Mailing address:** 1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
- **Mailing address phone:** (956) 365-6750
- **Mailing address fax:** (956) 365-6779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/11/2025