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Organization

LONE STAR CIRCLE OF CARE

Active
Other names
LSCC OBGYN Group
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN DAVID CALVIN (CEO)
(512) 994-1933
Entity
Organization

Contact information

Practice address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
(512) 551-0163
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
(512) 551-0163

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181824701
TX
Enumeration date
11/26/2007
Last updated
05/06/2025
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