NPI | 1346550464 |
---|---|
Doing Business As | LONE STAR CIRCLE OF CARE AT SANTA FE |
Entity Type | Organization |
Authorized Contact | PETER C PERIALAS CEO 512-868-1124 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-10-08 |
Last Update Date | 2011-03-03 |