Dominion Medical Services Pllc | |
1030 N. Zaragoza Suite X El Paso TX 79907 | |
(915) 881-4155 | |
(915) 881-4172 |
Full Name | Dominion Medical Services Pllc |
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Speciality | Family Medicine |
Location | 1030 N. Zaragoza, El Paso, Texas |
Authorized Official Name and Position | Adekunle Adedayo Adedeji (OWNER) |
Authorized Official Contact | 9158814155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dominion Medical Services Pllc 1030 N. Zaragoza Suite X El Paso TX 79907 Ph: (915) 881-4155 | Dominion Medical Services Pllc 1030 N. Zaragoza Suite X El Paso TX 79907 Ph: (915) 881-4155 |
NPI Number | 1881078285 |
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Provider Enumeration Date | 07/15/2015 |
Last Update Date | 05/28/2024 |
Medicare PECOS PAC ID | 0446560411 |
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Medicare Enrollment ID | O20151103000774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881078285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N3416 (Texas) | Primary |
Provider Name | Adekunle Adedeji |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902086937 PECOS PAC ID: 4486791753 Enrollment ID: I20091020000378 |
Provider Name | Olufemi Ayobami Aduroja |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1366762874 PECOS PAC ID: 6608090006 Enrollment ID: I20180614002770 |
Provider Name | Marianne Velasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194373654 PECOS PAC ID: 9335586080 Enrollment ID: I20240318002482 |
Provider Name | Elizabeth Navar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639702426 PECOS PAC ID: 1557701836 Enrollment ID: I20240503000833 |
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