Organization
KINGSWAY MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEKUNLE ADEDEJI M.D. (OWNER/PROVIDER)
(210) 601-2367
Entity
Organization
Contact information
Practice address
8623 N LOOP DR STE A, EL PASO, TX 79907-4520
(915) 881-4155
Mailing address
8623 N LOOP DR STE A, EL PASO, TX 79907-4520
(915) 881-4155
(915) 881-4172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
N3416
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058117-01
—
TX
Enumeration date
07/26/2012
Last updated
04/08/2026
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