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CENTRO MEDICAL GUADALUPE
NPI 1144508458
Clinic/Center - Primary Care in Fort Worth, TX

Active since August 03, 2011
1220 N MAIN ST, FORT WORTH, TX 76164(817) 378-0777(817) 378-9522 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centro Medical Guadalupe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO MEDICAL GUADALUPE (NPI 1144508458) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since August 2011. The organization lists Maryna Lombard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144508458
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCENTRO MEDICAL GUADALUPE
Location Address1220 N MAIN STFort Worth, TX 76164-9168
Mailing Address1220 N Main StFort Worth, TX 76164-9168 · (817) 378-0777
Phone(817) 378-0777
Fax(817) 378-9522
Organization SubpartYesParent: Flores Management
Authorized OfficialMaryna LombardOffice Manager · (972) 355-1831
Enumeration DateAugust 3, 2011
✔ NPI 1144508458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · H4919
1220 N MAIN ST, Fort Worth, TX 76164
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERTO FLORES MD
Internal Medicine
1220 N MAIN ST, STE 100
FORT WORTH, TX 76164
Tarrant County (817) 378-0777
CENTRAL MEDICO LLC
Internal Medicine
1220 N MAIN ST, SUITE 100
FORT WORTH, TX 76164
Tarrant County (817) 378-0777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro Medical Guadalupe's NPI number?

The NPI number for Centro Medical Guadalupe is 1144508458. It was assigned to this organization in the NPPES registry on August 3, 2011.

Where is Centro Medical Guadalupe located?

Centro Medical Guadalupe is located at 1220 N Main St, Fort Worth, TX 76164. The listed phone number is (817) 378-0777.

What is Centro Medical Guadalupe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Centro Medical Guadalupe was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.