Organization
SU CLINICA AMIGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA ISBELL (OWNER)
(832) 356-7695
Entity
Organization
Contact information
Practice address
3169 CALLE MARAVILLOSA, BROWNSVILLE, TX 78526-1240
(832) 356-7695
Mailing address
3169 CALLE MARAVILLOSA, BROWNSVILLE, TX 78526-1240
(832) 356-7695
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J6641
TX
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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