Individual
MR. MANSOOR AHMED TAHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3161 N ROCK RD, SUITE C, WICHITA, KS 67226-1312
(316) 440-2713
(316) 260-6897
Mailing address
3161 N ROCK RD, SUITE C, WICHITA, KS 67226-1312
(316) 440-2713
(316) 260-6897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01665
KS
Other
Enumeration date
02/13/2014
Last updated
03/24/2014
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