| NPI | 1205384138 |
|---|---|
| Doing Business As | SU CLINICA FAMILIAR |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BALARBAR President 469-688-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2020-10-09 |