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Organization
LONE STAR CIRCLE OF CARE
Active
Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Texas Child Study Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C. PERIALES (CEO)
(512) 686-0207
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, STE. 212, AUSTIN, TX 78731-6400
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, STE. 200, GEORGETOWN, TX 78626-6814
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
P6469
TX
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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