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Organization

SU CLINICA FAMILIAR

Active
Parent organization
SU CLINICA FAMILIAR
Other names
Su Clinica
Organization subpart
Yes

Provider details

NPI number
Legal business name
SU CLINICA FAMILIAR
Authorized official
SYLVIA TOUNGATE (BILLING AND COLLECTIONS MANAGER)
(956) 365-6000
Entity
Organization

Contact information

Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6000
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6000

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019029001
TX
Enumeration date
11/04/2020
Last updated
11/04/2020
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