Organization
CLINICA GUADALUPE BROADWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY OLALDE (OFFICER)
(214) 240-1506
Entity
Organization
Contact information
Practice address
5956 BROADWAY BLVD, GARLAND, TX 75043-5822
(469) 367-0248
(469) 367-0126
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
04/14/2023
Last updated
04/14/2023
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