| NPI | 1467424788 |
|---|---|
| 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 | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-27 |