| Paul Roman Hura Md Llc | |
|
11111 Nall Ave Ste 103 Leawood KS 66211-1625 | |
| (913) 322-8859 | |
| (888) 778-9471 |
| Full Name | Paul Roman Hura Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11111 Nall Ave Ste 103, Leawood, Kansas |
| Authorized Official Name and Position | Paul R Hura (PRESIDENT) |
| Authorized Official Contact | 9133228859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Roman Hura Md Llc 11111 Nall Ave Ste 103 Leawood KS 66211-1625 Ph: (913) 322-8859 | Paul Roman Hura Md Llc 11111 Nall Ave Ste 103 Leawood KS 66211-1625 Ph: (913) 322-8859 |
| NPI Number | 1083427462 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Medicare PECOS PAC ID | 2466972831 |
|---|---|
| Medicare Enrollment ID | O20250228001455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083427462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul R Hura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619069176 PECOS PAC ID: 8123070539 Enrollment ID: I20051028000654 |
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