| NPI | 1932122215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID-PAUL CAVAZOS Administrator 785-527-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-12 |