Organization
LONE STAR CIRCLE OF CARE
Active
Parent organization
LONE STAR CIRCLE OF CARE
Other names
Lone Star Circle of Care Pediatrics at Harker Heights
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
200 NOLA RUTH BLVD, HARKER HEIGHTS, TX 76548-6074
(877) 800-5722
(254) 698-1673
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2808107-01
—
TX
Enumeration date
02/14/2011
Last updated
01/30/2024
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