Lone Star Circle of Care

NPI #1578515987 in Granger, Texas

Provider Information

NPI Number
1578515987
Entity Type
Organization
Organization Name
Lone Star Circle of Care
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 16, 2006
Last Updated
Jul 24, 2007

Practice Location

Address
115 WEST DAVILLA
State
Texas
ZIP Code
76530
Phone
(512) 859-2251

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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