| NPI | 1962086496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA R THOMAS Clinic Owner 417-275-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-06-03 |