Lone Star Circle Of Care
Clinic/Center, Federally Qualified Health Center (FQHC) in Georgetown, TX. Organization (NPI-2).
NPI number1639129331
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1639129331
- Entity type
- Organization (NPI-2)
- Legal business name
- Lone Star Circle Of Care
- Organization subpart
- No
- Enumeration date
- May 11, 2006
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Other names
- Lone Star Circle Of Care At Georgetown Dental (Doing Business As)
Practice location
2411 Williams DrSuite 111
Georgetown, TX 78628-3271
Phone 877-800-5722 · Fax 512-864-1447
Mailing address
2423 Williams Dr Ste 107Georgetown, TX 78628-3269
Phone 877-800-5722
Authorized official
Jonathan David Calvin
Ceo
5129941933
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