# MAO LEAWOOD SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1689173981
- **Authorized official:** MARY CHAU-NGUYEN (MANAGEMENT)
- **Authorized official phone:** (316) 300-6515

## Contact information

- **Practice address:** 4940 W 137TH STREET, LEAWOOD, KS 66224
- **Practice address phone:** (316) 866-2540
- **Mailing address:** 1923 N WEBB RD, WICHITA, KS 67206-3405
- **Mailing address phone:** (316) 300-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018