Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Lone Star Circle of Care at Stassney
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CALVIN (CEO)
(512) 994-1933
Entity
Organization
Contact information
Practice address
730 W STASSNEY LN, SUITE 110, AUSTIN, TX 78745-2982
(877) 800-5722
(512) 243-5894
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3617300-01
—
TX
01
—
74-1929
MEDICARE PTAN
TX
Enumeration date
05/02/2016
Last updated
05/06/2025
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