Organization · Type 2 NPI
Tierra Lakes Medical Group, LLC
Specialist · Bel Aire, KS
NPI number
1639628829
Active
Practice location
4969 N Tierra Lakes Pkwy
Bel Aire, KS 67226-3345
Fax (316) 440-4851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
About NPI 1639628829
Tierra Lakes Medical Group, LLC's National Provider Identifier is 1639628829, issued on Sep 28, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bel Aire, KS. The record was last updated on Sep 28, 2016.