Lone Star Circle of Care

NPI #1255562013 in Belton, Texas

Provider Information

NPI Number: 1255562013
Entity Type: Organization
Organization Name: Lone Star Circle of Care
Subpart: Yes (part of a larger organization)
Parent Organization: LONE STAR CIRCLE OF CARE
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 28, 2009
Last Updated: Mar 3, 2011

Practice Location

Address: 255 SPARTA RD
City: Belton
State: Texas
ZIP Code: 76513-1424
Phone: (512) 868-1124

Authorized Official

Name: MR. PETER C PERIALAS
Title: CEO
Phone: (512) 868-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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