Lone Star Circle of Care

NPI #1437390705 in Georgetown, Texas

Provider Information

NPI Number
1437390705
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
Mar 17, 2009
Last Updated
Mar 17, 2009

Practice Location

Address
2423 WILLIAMS DR
State
Texas
ZIP Code
78628-3200
Phone
(512) 868-1124

Authorized Official

Name
MR. PETER C PERIALAS
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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