# ENDOSCOPIC SERVICES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205862984
- **Authorized official:** MR. JACE WARD HYDER M.D. (CEO)
- **Authorized official phone:** (316) 687-0234

## Contact information

- **Practice address:** 1431 BLUFFVIEW ST STE 215, WICHITA, KS 67218-3039
- **Practice address phone:** (316) 687-0234
- **Practice address fax:** (316) 687-0360
- **Mailing address:** 1431 BLUFFVIEW ST STE 215, WICHITA, KS 67218-3039
- **Mailing address phone:** (316) 687-0234
- **Mailing address fax:** (316) 687-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S-087-008 | KS | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 015223 | BCBS PROVIDER \# | KS |
| 05 | — | 100216580A | — | KS |