| Su Clinica Familiar Dental Cshcn | |
|
1706 Treasure Hills Blvd Harlingen TX 78550-8911 | |
| (956) 365-6750 | |
| (956) 365-6779 |
| Full Name | Su Clinica Familiar Dental Cshcn |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1706 Treasure Hills Blvd, Harlingen, Texas |
| Authorized Official Name and Position | Adam Saldivar (CFO) |
| Authorized Official Contact | 9563656750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Clinica Familiar Dental Cshcn 1706 Treasure Hills Blvd Harlingen TX 78550-8911 Ph: (956) 365-6750 | Su Clinica Familiar Dental Cshcn 1706 Treasure Hills Blvd Harlingen TX 78550-8911 Ph: (956) 365-6750 |
| NPI Number | 1497803449 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497803449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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