Active NPI
Guadalupe MC LLC
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1750078440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1821482886
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.