# SOONER TRAUMA-CRITICAL CARE, LLC

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

## Provider details

- **NPI number:** 1538389218
- **Authorized official:** DR. DONALD GREY VASQUEZ D.O. (OWNER)
- **Authorized official phone:** (316) 962-3030

## Contact information

- **Practice address:** 1400 N SANDPIPER ST, WICHITA, KS 67230-7175
- **Practice address phone:** (316) 962-3030
- **Mailing address:** 1400 N SANDPIPER ST, WICHITA, KS 67230-7175
- **Mailing address phone:** (316) 962-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020