| NPI | 1356442669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND VASQUEZ President 816-525-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-10-16 |