Organization
FRIENDLY NEIGHBORHOOD HEALTH CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI TERESE DITTBURNER ANP (PROVIDER/OWNER)
(956) 428-8264
Entity
Organization
Contact information
Practice address
617 E LOOP 499 STE C, HARLINGEN, TX 78550-2477
(956) 428-8264
(956) 425-3642
Mailing address
617 E LOOP 499 STE C, HARLINGEN, TX 78550-2477
(956) 428-8264
(956) 425-3642
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
520212
TX
305R00000X
Preferred Provider Organization
Primary
520212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8D5333
—
TX
Enumeration date
09/05/2012
Last updated
11/20/2013
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