GREAT SOUTHWEST MEDICAL LLC
NPI 1235571340
Clinic/Center - Health Service in Grand Prairie, TX

Active since July 18, 2013
643 S GREAT SOUTHWEST PKWY, SUITE 104, GRAND PRAIRIE, TX 75051(214) 363-5400 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Southwest Medical Llc NPPES

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

GREAT SOUTHWEST MEDICAL LLC (NPI 1235571340) is a healthcare organization registered as a health service in Grand Prairie, Texas and active in the NPI registry since July 2013. The organization lists Rhonda R Guitreau, Agent, as its authorized official.

NPPES Registry Identity

NPI1235571340
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGREAT SOUTHWEST MEDICAL LLC
Location Address643 S GREAT SOUTHWEST PKWY, SUITE 104Grand Prairie, TX 75051-1056
Mailing Address643 S Great Southwest Pkwy, Suite 104Grand Prairie, TX 75051-1056
Organization SubpartNo
Authorized OfficialRhonda R GuitreauAgent · (214) 382-1909
Enumeration DateJuly 18, 2013
NPI 1235571340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in TX · K0566
643 S GREAT SOUTHWEST PKWY, Grand Prairie, TX 75051

Other Identifiers 1

Medicare UPINF87395TX

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051
Obstetrics & Gynecology
643 S GREAT SOUTHWEST PKWY, STE 102
GRAND PRAIRIE, TX 75051
Obstetrics & Gynecology (Obstetrics)
643 S GREAT SOUTHWEST PKWY, SUITE 101
GRAND PRAIRIE, TX 75051

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 Great Southwest Medical LLC's NPI number?

The NPI number for Great Southwest Medical LLC is 1235571340. It was assigned to this organization in the NPPES registry on July 18, 2013.

Where is Great Southwest Medical LLC located?

Great Southwest Medical LLC is located at 643 S Great Southwest Pkwy Suite 104, Grand Prairie, TX 75051. The listed phone number is (214) 363-5400.

What is Great Southwest Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Great Southwest Medical LLC was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.