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Contact Information

KINGSWAY MEDICAL CENTER PLLC
8623 N LOOP DR STE A
EL PASO, TX79907-4520
 Phone: 915-881-4155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KINGSWAY MEDICAL CENTER PLLC · (Female)

NPI # 1851647911
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2012
Last updated 04/08/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # N3416
  • TX Medicaid 3058117-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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