| Family Care Associates Llc | |
|
7570 W 21st St N Ste 1006b Wichita KS 67205-1734 | |
| (316) 462-1208 | |
| (316) 462-1214 |
| Full Name | Family Care Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7570 W 21st St N, Wichita, Kansas |
| Authorized Official Name and Position | Mary Kay Mroz (PRESIDENT) |
| Authorized Official Contact | 3164621208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Associates Llc 7570 W 21st St N Ste 1006b Wichita KS 67205-1734 Ph: (316) 462-1208 | Family Care Associates Llc 7570 W 21st St N Ste 1006b Wichita KS 67205-1734 Ph: (316) 462-1208 |
| NPI Number | 1336123785 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123093804 |
|---|---|
| Medicare Enrollment ID | O20040826001037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336123785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary K Mroz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609850064 PECOS PAC ID: 6800838772 Enrollment ID: I20050614001135 |
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