Lone Star Circle of Care

NPI #1346550464 in Temple, Texas

Provider Information

NPI Number
1346550464
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
Oct 8, 2010
Last Updated
Mar 3, 2011

Practice Location

Address
600 S 25TH ST
City
Temple
State
Texas
ZIP Code
76504-5227
Phone
(877) 800-5722

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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