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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 @ Elgin
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONE STAR CIRCLE OF CARE
Authorized official
MR. PETE PERIALAS (CEO)
51268680207
Entity
Organization
Contact information
Practice address
902 W 2ND ST, ELGIN, TX 78621-2515
(512) 626-0207
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 626-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
51345
TX
207Q00000X
Family Medicine Physician
Primary
P4217
TX
363LF0000X
Family Nurse Practitioner
816106
TX
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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