Organization
LONE STAR CIRCLE OF CARE
Active
Parent organization
LONE STAR CIRCLE OF CARE
Other names
Round Rock Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONE STAR CIRCLE OF CARE
Authorized official
MR. PETER C PERIALAS JR. (CHIEF EXECUTIVE OFFICER)
(512) 868-1124
Entity
Organization
Contact information
Practice address
905 IH 35 N, SUITE 109, ROUND ROCK, TX 78664-4254
(512) 733-2100
(512) 733-2101
Mailing address
1500 WEST UNIVERSITY AVENUE, SUITE 103, GEORGETOWN, TX 78628-7109
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
TX
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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