# AUSTIN MED GROUP INC

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

## Provider details

- **NPI number:** 1336496595
- **Authorized official:** JOSEPH BLEEK (CEO)
- **Authorized official phone:** (913) 461-2130

## Contact information

- **Practice address:** 345 N RIVERVIEW ST, WICHITA, KS 67203-4200
- **Practice address phone:** (913) 461-2130
- **Mailing address:** 345 N RIVERVIEW ST, WICHITA, KS 67203-4200
- **Mailing address phone:** (913) 461-2130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 12-41560 | KS | Yes |

## Other

- **Enumeration date:** 08/07/2012
- **Last updated:** 09/18/2012