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Organization
LONE STAR CIRCLE OF CARE
Active
Organization
LONE STAR CIRCLE OF CARE
Active
Parent organization
LONE STAR CIRCLE OF CARE
Other names
Lone Star Circle of Care @ Hutto
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONE STAR CIRCLE OF CARE
Authorized official
PETE PERIALAS (CEO)
(512) 686-0207
Entity
Organization
Contact information
Practice address
101 FM 685, HUTTO, TX 78634-5540
(512) 686-0207
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 686-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
53594
TX
207Q00000X
Family Medicine Physician
Primary
P4217
TX
363LF0000X
Family Nurse Practitioner
660624
TX
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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