Provider Demographics
NPI:1962195347
Name:HOPEWELL MEDICAL CENTER, PLLC
Entity type:Organization
Organization Name:HOPEWELL MEDICAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADUROJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-455-2266
Mailing Address - Street 1:955 N RESLER DR STE 104-122
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1403
Mailing Address - Country:US
Mailing Address - Phone:915-455-2266
Mailing Address - Fax:
Practice Address - Street 1:100 EXECUTIVE CENTER BLVD STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1136
Practice Address - Country:US
Practice Address - Phone:915-455-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty