Organization Active NPI

Guadalupe MC LLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1750078440
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GUADALUPE MC LLC
Practice address
18220 Midway Rd
Dallas, TX 75287-4901
Phone
(469) 501-1006
NPI assigned
Apr 21, 2023
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Maria Jimenez Soto
Title
Officer
Phone
(469) 320-9736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

18220 Midway Rd
Dallas, TX 75287-4901

Mailing address

14951 Dallas Pkwy Ste 190
Dallas, TX 75254-6894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1750078440",
    "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": "18220 MIDWAY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752874901",
            "telephone_number": "469-501-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE MC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ SOTO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-320-9736"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.