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Lone Star Circle Of Care

Clinic/Center, Federally Qualified Health Center (FQHC) in Round Rock, TX. Organization (NPI-2).

NPI number1003051673
StatusActive
Last updated in NPPESDec 10, 2008

Details

NPI
1003051673
Entity type
Organization (NPI-2)
Legal business name
Lone Star Circle Of Care
Organization subpart
Yes
Enumeration date
Dec 10, 2008
Last updated
Dec 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)–TXYes

Other names

  • Round Rock Dental Center (Doing Business As)

Practice location

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

Phone 512-868-1124 · Fax 512-868-9894

Authorized official

Peter C Perialas
Chief Executive Officer
5128681124

Is something wrong?

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Other Federally Qualified Health Center (FQHC) providers in Round Rock, TX

All 8 Federally Qualified Health Center (FQHC) providers in Round Rock · All 4,921 providers in Round Rock

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