Lone Star Circle Of Care At Cedar Park | |
1401 Medical Pkwy Bldg B Ste 311 Cedar Park TX 78613-5014 | |
(877) 800-5722 | |
Not Available |
Full Name | Lone Star Circle Of Care At Cedar Park |
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Speciality | Clinic/Center |
Location | 1401 Medical Pkwy Bldg B, Cedar Park, 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 |
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Lone Star Circle Of Care At Cedar Park 205 E University Ave Ste 200 Georgetown TX 78626-6821 Ph: (512) 686-0207 | Lone Star Circle Of Care At Cedar Park 1401 Medical Pkwy Bldg B Ste 311 Cedar Park TX 78613-5014 Ph: (877) 800-5722 |
NPI Number | 1104476399 |
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Provider Enumeration Date | 09/19/2019 |
Last Update Date | 12/12/2023 |
Medicare PECOS PAC ID | 5193709392 |
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Medicare Enrollment ID | O20191209002128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104476399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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