| Maria Medical Services Llc | |
|
3161 N Rock Rd Ste B Wichita KS 67226-1453 | |
| (316) 978-0287 | |
| Not Available |
| Full Name | Maria Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3161 N Rock Rd Ste B, Wichita, Kansas |
| Authorized Official Name and Position | Samrah Mansoor (OWNER) |
| Authorized Official Contact | 3166330930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Medical Services Llc 3161 N Rock Rd Ste B Wichita KS 67226-1453 Ph: (316) 978-0287 | Maria Medical Services Llc 3161 N Rock Rd Ste B Wichita KS 67226-1453 Ph: (316) 978-0287 |
| NPI Number | 1134953888 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 5991928319 |
|---|---|
| Medicare Enrollment ID | O20140603000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134953888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samrah Mansoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063581809 PECOS PAC ID: 4981702008 Enrollment ID: I20140327002075 |
| Provider Name | Tina D Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831435726 PECOS PAC ID: 7810133717 Enrollment ID: I20220903000150 |
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