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Organization

LONE STAR CIRCLE OF CARE

Active
Other names
Lone Star Circle of Care at Stassney
Organization subpart
No

Provider details

NPI number
Authorized official
PETER PERIALAS JR. (CEO)
(877) 800-5722
Entity
Organization

Contact information

Practice address
730 W STASSNEY LN, SUITE 110, AUSTIN, TX 78745-2982
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(877) 800-5722

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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