Lone Star Circle Of Care Pediatrics At Harker Heights | |
200 Nola Ruth Blvd Harker Heights TX 76548-6074 | |
(877) 800-5722 | |
(254) 698-1673 |
Full Name | Lone Star Circle Of Care Pediatrics At Harker Heights |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 200 Nola Ruth Blvd, Harker Heights, Texas |
Authorized Official Name and Position | Jonathan David Calvin (CEO) |
Authorized Official Contact | 5129941933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lone Star Circle Of Care Pediatrics At Harker Heights 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | Lone Star Circle Of Care Pediatrics At Harker Heights 200 Nola Ruth Blvd Harker Heights TX 76548-6074 Ph: (877) 800-5722 |
NPI Number | 1710284542 |
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Provider Enumeration Date | 02/14/2011 |
Last Update Date | 01/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710284542 | NPI | - | NPPES |
2808107-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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