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Organization
SOCORRO MEDICAL CLINIC LLC
Active
Organization
SOCORRO MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEKUNLE ADEDAYO ADEDEJI MD (PRESIDENT)
(915) 351-4010
Entity
Organization
Contact information
Practice address
10720 N LOOP DR, SUITE A, SOCORRO, TX 79927-4409
(915) 351-4010
(915) 309-1816
Mailing address
PO BOX 221287, EL PASO, TX 79913-4287
(915) 351-4010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N3416
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/30/2015
Last updated
05/29/2024
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