Kingsway Medical Center Pllc
LBN: Kingsway Medical Center Pllc
Kingsway Medical Center Pllc is an health care organization with primary practice located at 8623 N Loop Dr Ste A , El Paso TX 79907-4520. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Kingsway Medical Center Pllc can be contacted via phone (915) 881-4155, or through Adedeji, Adekunle via phone (210) 601-2367.
Contact Information
Primary practice address
8623 N Loop Dr Ste A
El Paso TX 79907-4520
Phone: (915) 881-4155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N3416 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X |
Profile Details
| NPI number | 1851647911 |
|---|---|
| LBN Legal business name | Kingsway Medical Center Pllc |
| DBA Doing business as | |
| Authorized official | Adedeji, Adekunle Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2012 |
| Last updated | May 28th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851647911 | NPPES |
| Texas | MEDICAID | 3058117-01 |
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