Lone Star Circle of Care

NPI #1043633308 in Austin, Texas

Provider Information

NPI Number: 1043633308
Entity Type: Organization
Organization Name: Lone Star Circle of Care
Primary Specialty: Pediatrics
Enumeration Date: Jan 22, 2014
Last Updated: Jan 22, 2014

Practice Location

Address: 2410 E RIVERSIDE DR
City: Austin
State: Texas
ZIP Code: 78741-3083
Phone: (877) 800-5722

Authorized Official

Name: MR. PETER PERIALAS JR.
Title: CEO
Phone: (877) 800-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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