| NPI | 1487830261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO GARCIA Medical Director 913-491-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS S046003) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KS S046025) |
| 207X00000X Orthopaedic Surgery (Licence: KS S046003) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS S046025) | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2019-02-19 |