Organization
GUADALUPE MC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIAL OQUENDO RINCON MD (MD (OWNER))
(469) 606-0753
Entity
Organization
Contact information
Practice address
18220 MIDWAY RD, DALLAS, TX 75287-4901
(469) 606-0753
(469) 606-0753
Mailing address
14951 DALLAS PKWY STE 190, DALLAS, TX 75254-6894
(469) 606-0753
(469) 606-0753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
08/26/2021
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