| NPI | 1598091001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA E LUCERO Member Manager 620-624-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-28884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0413614) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |