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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