Individual
ANGEL TECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(131) 628-3610
(316) 284-5050
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-32177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106034
MEDICARE
—
05
—
200417350A
—
KS
05
—
30004334460001
—
KS
Enumeration date
12/11/2006
Last updated
04/28/2023
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