NPI 1003051673

Lone Star Circle of Care

Organisation Federally Qualified Health Center (FQHC) Round Rock, TX

Practice location

Address: 905 Ih 35 N Suite 109, Round Rock, TX 78664-4254
Phone: (512) 733-2100
Fax: (512) 733-2101
Mailing address: 1500 West University Avenue Suite 103, Georgetown, TX 78628-7109

Authorised official

Name: Peter C Perialas
Title: Chief Executive Officer
Phone: (512) 868-1124

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

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Registry record

NPI: 1003051673
Entity type: Organization
NPI issued: 10 Dec 2008
Record last updated: 10 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.