MEDICARE: HOPEWELL MEDICAL CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1962195347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEWELL MEDICAL CENTER, PLLC

Provider Business Mailing Address
First Line	:	955 N RESLER DR STE 104-122
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-1403
Country	:	US
Telephone Number	:	915-455-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 EXECUTIVE CENTER BLVD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1136
Country	:	US
Telephone Number	:	915-455-2266
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLUFEMI ADUROJA
Credential	:	MD
Telephone Number	:	915-455-2266

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	10/09/2023

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