Healthcare Provider Details

I. General information

NPI: 1982733812
Provider Name (Legal Business Name): RGV HARLINGEN FAMILY NIGHT CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 HAINE DR
HARLINGEN TX
78550-8549
US

IV. Provider business mailing address

2226 HAINE DR
HARLINGEN TX
78550-8549
US

V. Phone/Fax

Practice location:
  • Phone: 956-423-0085
  • Fax: 956-412-3033
Mailing address:
  • Phone: 956-423-1283
  • Fax: 956-412-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID SAUCEDA III
Title or Position: PRESIDENT
Credential: MD
Phone: 956-423-1283