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Highway 107 & La Feria Avenue Santa Rosa TX 78593 | |
| (956) 636-1805 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | Highway 107 & La Feria Avenue, Santa Rosa, Texas |
| Authorized Official Name and Position | Elsa Marquez (PRACTICE MANAGER) |
| Authorized Official Contact | 9566361805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Highway 107 & La Feria Avenue Santa Rosa TX 78593 Ph: (956) 636-1805 | Highway 107 & La Feria Avenue Santa Rosa TX 78593 Ph: (956) 636-1805 |
| NPI Number | 1437170065 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437170065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Su Clinica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Hwy 107 And La Feria Avenue, Santa Rosa, TX 78593 Phone: 956-365-6071 Fax: 956-365-6072 |