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Contact Information

SU CLINICA FAMILIAR
131 FM 3168
RAYMONDVILLE, TX78580-3605
 Phone: 956-689-5216
 Fax: 956-689-5937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SU CLINICA FAMILIAR

NPI # 1194820969
LBN Legal business name SU CLINICA FAMILIAR
Authorized official ELENA MARIN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 09/28/2016 - About 10 years ago
Identifiers
TX License # A01094
Other 2099012 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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