Organization
LONE STAR CIRCLE OF CARE
Active
Other names
Granger Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C PERIALAS JR. (CEO)
(512) 868-1124
Entity
Organization
Contact information
Practice address
115 WEST DAVILLA, GRANGER, TX 76530
(512) 859-2251
(512) 859-2575
Mailing address
1500 W UNIVERSITY AVE, SUITE 103, GEORGETOWN, TX 78628-7108
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
07/24/2007
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