Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Texas Child Study Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C. PERIALES (CEO)
(512) 686-0207
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, STE. 212, AUSTIN, TX 78731-6400
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, STE. 200, GEORGETOWN, TX 78626-6814
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
P6469
TX
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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