Organization
SU CLINICA FAMILIAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SALDIVAR (CFO)
(956) 365-9750
Entity
Organization
Contact information
Practice address
HWY 107 AND LA FERIA AVENUE, SANTA ROSA, TX 78593-0226
(956) 365-6071
(956) 365-6072
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
03/23/2011
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