| Su Clinica Amiga Llc | |
|
3169 Calle Maravillosa Brownsville TX 78526-1240 | |
| (832) 356-7695 | |
| Not Available |
| Full Name | Su Clinica Amiga Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3169 Calle Maravillosa, Brownsville, Texas |
| Authorized Official Name and Position | Amelia Isbell (OWNER) |
| Authorized Official Contact | 8323567695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Su Clinica Amiga Llc 3169 Calle Maravillosa Brownsville TX 78526-1240 Ph: (832) 356-7695 | Su Clinica Amiga Llc 3169 Calle Maravillosa Brownsville TX 78526-1240 Ph: (832) 356-7695 |
| NPI Number | 1619219292 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 03/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619219292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J6641 (Texas) | Primary |
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