Lone Star Circle of Care

NPI #1750331963 in Georgetown, Texas

Provider Information

NPI Number
1750331963
Entity Type
Organization
Organization Name
Lone Star Circle of Care
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 10, 2006
Last Updated
Mar 3, 2011

Practice Location

Address
701 E UNIVERSITY AVE
State
Texas
ZIP Code
78626-7035
Phone
(512) 863-8208

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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