Dr Conrado M Agustin Jr, MD | |
527 N Grove St, Wichita, KS 67214-4520 | |
(316) 262-2415 | |
(316) 264-4734 |
Full Name | Dr Conrado M Agustin Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 527 N Grove St, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558454686 | NPI | - | NPPES |
30004493060004 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-30665 (Kansas) | Primary |
Entity Name | Hunter Health Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376618348 PECOS PAC ID: 5193632941 Enrollment ID: O20040220001001 |
Mailing Address | Practice Location Address |
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Dr Conrado M Agustin Jr, MD 2318 E Central Ave, Wichita, KS 67214-4436 Ph: (316) 262-2415 | Dr Conrado M Agustin Jr, MD 527 N Grove St, Wichita, KS 67214-4520 Ph: (316) 262-2415 |
Patrick Bowen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N. Kansas, Wcgme, Wichita, KS 67214 Phone: 316-962-3030 | |
Dr. Cindy Daugherty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Deborah Anne Kroeker Alliston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 N Carriage Pkwy, Wichita, KS 67208 Phone: 316-962-3100 Fax: 316-962-3132 | |
Justin Alexander Mills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-962-3030 | |
Luke O Nichols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Kay Hocutt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 | |
Grace Nehme, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 |