Organization
LONE STAR CIRCLE OF CARE
Active
Other names
GCC Tx Health Steps
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C PERIALAS JR. (CEO)
(512) 868-1124
Entity
Organization
Contact information
Practice address
1500 W UNIVERSITY AVE STE 103, GEORGETOWN, TX 78628-7109
(512) 868-1124
(512) 868-9894
Mailing address
1500 W UNIVERSITY AVE STE 103, GEORGETOWN, TX 78628-7109
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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