Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Lone Star Circle of Care at Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER PERIALAS JR. (CEO)
(877) 800-5722
Entity
Organization
Contact information
Practice address
2410 E RIVERSIDE DR, AUSTIN, TX 78741-3083
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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