Organization
WICHITA VASCULAR AND VEIN CENTER, LLC
Active
Other names
Wichita Vascular and Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHA PEREZ (OFFICE MANAGER)
(316) 272-5800
Entity
Organization
Contact information
Practice address
3161 N WEBB RD, SUITE 110, WICHITA, KS 67226
(316) 272-5800
(316) 272-5801
Mailing address
3161 N WEBB RD, SUITE 110, WICHITA, KS 67226
(316) 272-5800
(316) 272-5801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
KS
05
—
PENDING
—
KS
Enumeration date
01/23/2019
Last updated
01/23/2019
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