| NPI | 1619363041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LOZANO Capo 316-558-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-12-29 |