# HILLSBORO PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265238497
- **Authorized official:** MR. LUCAS NULL (BUSINESS MANAGER)
- **Authorized official phone:** (636) 789-3941

## Contact information

- **Practice address:** 10279 BUSINESS 21, HILLSBORO, MO 63050-3598
- **Practice address phone:** (636) 789-3941
- **Mailing address:** 10279 BUSINESS 21, HILLSBORO, MO 63050-3598
- **Mailing address phone:** (636) 789-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 04/01/2025