| NPI | 1154747871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA E LUCERO Owner 620-624-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KS 0428884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0428884) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |