| NPI | 1043279599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO GARCIA Medical Director 913-491-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS S046003) |
| 207T00000X Neurological Surgery (Licence: KS S046003) | |
| 207X00000X Orthopaedic Surgery (Licence: KS S046003) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS S046025) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-06-02 |