Organization
THERESA A. FLAIGLE
Active
Organization
THERESA A. FLAIGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET SCHWARZ (OFFICE MANAGER)
(316) 869-2220
Entity
Organization
Contact information
Practice address
123 N. TYLER RD, SUITE 300, WICHITA, KS 67212-3726
(316) 869-2220
(316) 869-2221
Mailing address
123 N. TYLER RD., SUITE 300, WICHITA, KS 67212-3726
(316) 869-2220
(316) 869-2221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7543
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7543
STATE LICENSE
KS
Enumeration date
11/02/2011
Last updated
10/23/2014
Update your record
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