Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Lone Star Circle of Care at Bastrop
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CALVIN (CEO)
(512) 994-1933
Entity
Organization
Contact information
Practice address
605 OLD AUSTIN HWY, BASTROP, TX 78602-5034
(877) 800-5722
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
—
3439028-01
—
TX
01
—
74-1883
MEDICARE PTAN
—
Enumeration date
01/30/2015
Last updated
05/12/2025
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