| NPI | 1104933837 |
|---|---|
| Doing Business As | AUSTIN PLAZA PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA A PRATT CFO 573-438-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-27 |