| Su Clinica Familiar | |
|
105 E Alton Gloor Blvd Brownsville TX 78526-3391 | |
| (956) 831-8338 | |
| (956) 831-3285 |
| Full Name | Su Clinica Familiar |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 E Alton Gloor Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Adam Saldivar (CFO) |
| Authorized Official Contact | 9563656750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550-8911 Ph: (956) 365-6750 | Su Clinica Familiar 105 E Alton Gloor Blvd Brownsville TX 78526-3391 Ph: (956) 831-8338 |
| NPI Number | 1811901655 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 11/19/2012 |
| Medicare PECOS PAC ID | 5496663429 |
|---|---|
| Medicare Enrollment ID | O20031017000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811901655 | NPI | - | NPPES |
| 019027401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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