| Su Clinica Familiar | |
|
Hwy 107 And La Feria Avenue Santa Rosa TX 78593-0226 | |
| (956) 365-6071 | |
| (956) 365-6072 |
| Full Name | Su Clinica Familiar |
|---|---|
| Speciality | Clinic/Center |
| Location | Hwy 107 And La Feria Avenue, Santa Rosa, Texas |
| Authorized Official Name and Position | Adam Saldivar (CFO) |
| Authorized Official Contact | 9563659750 |
| 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 Hwy 107 And La Feria Avenue Santa Rosa TX 78593-0226 Ph: (956) 365-6071 |
| NPI Number | 1386960862 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 03/23/2011 |
| Medicare PECOS PAC ID | 5496663429 |
|---|---|
| Medicare Enrollment ID | O20101116000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386960862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
C H Wilkinson Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 107 And La Feria Ave, Santa Rosa, TX 78593 Phone: 956-636-1805 |