Lone Star Circle of Care
Organization Active NPI Adolescent Medicine (Internal Medicine) Physician · Austin, TX
NPI 1356766166 · NPPES record last updated Mar 3, 2014
Key facts
- NPI
- 1356766166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- P6469 (TX)
- Legal business name
- LONE STAR CIRCLE OF CARE
- Practice address
- 1600 W 38TH St
Ste. 212
Austin, TX 78731-6400 - Phone
- (877) 800-5722
- NPI assigned
- Mar 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter C. Periales
- Title
- Ceo
- Phone
- (512) 686-0207
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Lone Star Circle of Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician |
207RA0000X | P6469 | TX | Yes |
Addresses
Primary practice location
1600 W 38TH St
Ste. 212
Austin, TX 78731-6400
Mailing address
205 E University Ave
Ste. 200
Georgetown, TX 78626-6814
Phone (877) 800-5722
Other names
- Texas Child Study Center
Other providers in Austin, TX
- Lone Star Advanced Imaging Services Inc
- Lone Star Advanced Imaging Services,Inc
- Lone Star Childrens Dentistry PLLC
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
All providers in Austin, TX · Adolescent Medicine (Internal Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.