| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | |
| Reem Siblini,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 N Kansas St, Wichita, KS 67214 Phone: 316-293-2665 | |
| 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: Not Enrolled in Medicare Practice Location: 9211 E 21st St N, Wichita, KS 67206 Phone: 316-609-4400 Fax: 316-634-4040 |