| NPI | 1275373300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL PATEL Owner/Authorized Official 316-609-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-08-11 |