Organization
LONE STAR CIRCLE OF CARE
Active
Parent organization
LONE STAR CIRCLE OF CARE
Other names
Lone Star Circle of Care at Lake Aire Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONE STAR CIRCLE OF CARE
Authorized official
JONATHAN DAVID CALVIN (CEO)
(512) 994-1933
Entity
Organization
Contact information
Practice address
2423 WILLIAMS DR, GEORGETOWN, TX 78628-3200
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
(512) 551-0163
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085110-01
—
TX
Enumeration date
07/30/2009
Last updated
05/06/2025
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