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Organization
GUADALUPE MC LLC
Active
Organization
GUADALUPE MC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA JIMENEZ SOTO (OFFICER)
(469) 320-9736
Entity
Organization
Contact information
Practice address
18220 MIDWAY RD, DALLAS, TX 75287-4901
(469) 501-1006
Mailing address
14951 DALLAS PKWY STE 190, DALLAS, TX 75254-6894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
08/18/2026
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