Organization Active NPI

Clinica de Guadalupe Beltline LLC

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1053007807
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA DE GUADALUPE BELTLINE LLC
Practice address
3583 N Belt Line Rd
Irving, TX 75062-7804
Phone
(469) 845-3051
Fax
(469) 854-3049
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Olalde
Title
Officer
Phone
(214) 240-1506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3583 N Belt Line Rd
Irving, TX 75062-7804

Mailing address

14951 Dallas Pkwy Ste 190
Dallas, TX 75254-6894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1053007807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14951 DALLAS PKWY STE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750627804",
            "telephone_number": "469-845-3051",
            "fax_number": "469-854-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE GUADALUPE BELTLINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "OLALDE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-240-1506"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.