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Organization

LONE STAR CIRCLE OF CARE

Active
Parent organization
LONE STAR CIRCLE OF CARE
Other names
Senior Health and Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
LONE STAR CIRCLE OF CARE
Authorized official
MR. PETER C PERIALAS (CEO)
(512) 868-1124
Entity
Organization

Contact information

Practice address
2423 WILLIAMS DR, GEORGETOWN, TX 78628-3200
(512) 868-1124
(512) 868-9894
Mailing address
1500 WEST UNIVERSITY, 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

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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