Organization
PASTOR R CAUSIN JR. M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASTOR R CAUSIN JR. M.D. (DR.)
(316) 609-3020
Entity
Organization
Contact information
Practice address
3223 N WEBB RD, SUITE 5, WICHITA, KS 67226-8175
(316) 609-3020
(316) 609-3070
Mailing address
5051 E LINCOLN ST, 10-A, WICHITA, KS 67218-2416
(316) 683-8849
(316) 260-2611
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
0429554
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420530A
—
KS
01
—
105406
MEDICARE PTAN
KS
Enumeration date
09/21/2006
Last updated
02/16/2010
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