Organization
SUCLINICA FAMILIAR
Active
Other names
SU CLINICA FAMILIAR DENTAL CSHCN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM SALDIVAR CFO (CFO)
(956) 365-6750
Entity
Organization
Contact information
Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165104402
—
TX
Enumeration date
01/08/2007
Last updated
08/11/2025
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