CLINICA GUADALUPE WALNUT HILL LLC
NPI 1174219802
Family Medicine in Dallas, TX

Active since April 14, 2023CLIA 45D2265755 · Waiver
2555 WALNUT HILL LN STE 110, DALLAS, TX 75229(972) 252-3700(972) 252-3701 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinica Guadalupe Walnut Hill Llc NPPES

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

CLINICA GUADALUPE WALNUT HILL LLC (NPI 1174219802) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Cindy Olalde, Officer, as its authorized official.

NPPES Registry Identity

NPI1174219802
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA GUADALUPE WALNUT HILL LLC
Location Address2555 WALNUT HILL LN STE 110Dallas, TX 75229-5629
Mailing Address14951 Dallas Pkwy Ste 190Dallas, TX 75254-6894
Fax(972) 252-3701
Organization SubpartNo
Authorized OfficialCindy OlaldeOfficer · (214) 240-1506
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1174219802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2555 WALNUT HILL LN STE 110, Dallas, TX 75229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2265755

Clinica Guadalupe Walnut Hill, LLC · Dallas, TX
Active · expires Jan 28, 2028
CLIA Number45D2265755
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorLeeor B. Peleg
Laboratory Phone(972) 252-3700
Laboratory LocationClinica Guadalupe Walnut Hill, LLC2555 Walnut Hill Ln Suite 110, Dallas, TX 75229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clinica Guadalupe Walnut Hill LLC's NPI number?

The NPI number for Clinica Guadalupe Walnut Hill LLC is 1174219802. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Clinica Guadalupe Walnut Hill LLC located?

Clinica Guadalupe Walnut Hill LLC is located at 2555 Walnut Hill Ln Ste 110, Dallas, TX 75229. The listed phone number is (972) 252-3700.

What is Clinica Guadalupe Walnut Hill LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clinica Guadalupe Walnut Hill LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2265755) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinica Guadalupe Walnut Hill LLC was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.