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SOCORRO MEDICAL CLINIC LLC NPI 1922478114


NPI Information

NPI: 1922478114
Provider Name: SOCORRO MEDICAL CLINIC LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2115763

Address:
10720 N LOOP DR
SUITE A
SOCORRO, TX
ZIP 79927
Phone: (915) 351-4010
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SOCORRO MEDICAL CLINIC LLC is a family medicine in Socorro, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOCORRO MEDICAL CLINIC LLC NPI is 1922478114. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10720 N LOOP DR
SUITE A
SOCORRO, TX
ZIP 79927-409
Phone: (915) 351-4010
Fax: (915) 309-1816

The provider's authorized official is Adekunle Adedayo Adedeji .
The authorized official title is President and has the following contact phone number (915) 351-4010.

The CLIA number assigned to this NPI record is 45D2115763 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2015 and was last updated on 9/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineN3416TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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