| NPI | 1043633308 |
|---|---|
| Doing Business As | LONE STAR CIRCLE OF CARE AT RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | PETER PERIALAS CEO 877-800-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |