Lone Star Circle Of Care At Killeen | |
2300 S Clear Creek Rd Suite 105 Killeen TX 76549-4985 | |
(877) 800-5722 | |
(254) 554-3741 |
Full Name | Lone Star Circle Of Care At Killeen |
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Speciality | Clinic/Center |
Location | 2300 S Clear Creek Rd, Killeen, Texas |
Authorized Official Name and Position | Jon Calvin (CEO) |
Authorized Official Contact | 5129941933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lone Star Circle Of Care At Killeen 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | Lone Star Circle Of Care At Killeen 2300 S Clear Creek Rd Suite 105 Killeen TX 76549-4985 Ph: (877) 800-5722 |
NPI Number | 1376840140 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 09/18/2023 |
Medicare PECOS PAC ID | 5193709392 |
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Medicare Enrollment ID | O20110406000988 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376840140 | NPI | - | NPPES |
2186900-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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