| Lone Star Circle Of Care @ Hutto | |
|
101 Fm 685 Hutto TX 78634-5540 | |
| (512) 686-0207 | |
| Not Available |
| Full Name | Lone Star Circle Of Care @ Hutto |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Fm 685, Hutto, Texas |
| Authorized Official Name and Position | Pete Perialas (CEO) |
| Authorized Official Contact | 5126860207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Circle Of Care @ Hutto 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 686-0207 | Lone Star Circle Of Care @ Hutto 101 Fm 685 Hutto TX 78634-5540 Ph: (512) 686-0207 |
| NPI Number | 1588096473 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588096473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 53594 (Texas) | Secondary |
| 207Q00000X | Family Medicine | P4217 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 660624 (Texas) | Secondary |
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