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:
Map and Directions
Authorized official contact:
Name: Adedeji, Adekunle Doctor of Medicine (MD)
Phone: (210) 601-2367

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851647911 NPPES
Texas MEDICAID 3058117-01

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