| NPI | 1205862984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACE WARD HYDER CEO 316-687-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS S-087-008) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-08-22 |