| Lone Star Circle Of Care At Georgetown Women's Center | |
|
1900 Scenic Dr Suite 3326 Georgetown TX 78626-7724 | |
| (877) 800-5722 | |
| (512) 869-1788 |
| Full Name | Lone Star Circle Of Care At Georgetown Women's Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Scenic Dr, Georgetown, Texas |
| Authorized Official Name and Position | Jonathan David 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 |
|---|---|
| Lone Star Circle Of Care At Georgetown Women's Center 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 686-0207 | Lone Star Circle Of Care At Georgetown Women's Center 1900 Scenic Dr Suite 3326 Georgetown TX 78626-7724 Ph: (877) 800-5722 |
| NPI Number | 1972866200 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 5193709392 |
|---|---|
| Medicare Enrollment ID | O20130513000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972866200 | NPI | - | NPPES |
| 3082265-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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