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Organization
SU CLINICA FAMILIAR
Active
Organization
SU CLINICA FAMILIAR
Active
Other names
SU CLINICA FAMILIAR
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA MARIN MD (EXECUTIVE DIRECTOR)
(956) 365-6750
Entity
Organization
Contact information
Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6005
(956) 365-6770
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6005
(956) 365-6770
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
1095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547482
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/31/2009
Last updated
07/31/2009
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