| Clinica Guadalupe Broadway Llc | |
|
5956 Broadway Blvd Garland TX 75043-5822 | |
| (469) 367-0248 | |
| (469) 367-0126 |
| Full Name | Clinica Guadalupe Broadway Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5956 Broadway Blvd, Garland, Texas |
| Authorized Official Name and Position | Cindy Olalde (OFFICER) |
| Authorized Official Contact | 2142401506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Guadalupe Broadway Llc 14951 Dallas Pkwy Ste 190 Dallas TX 75254-6894 Ph: () - | Clinica Guadalupe Broadway Llc 5956 Broadway Blvd Garland TX 75043-5822 Ph: (469) 367-0248 |
| NPI Number | 1801582655 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801582655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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