| NPI | 1588096473 |
|---|---|
| Doing Business As | LONE STAR CIRCLE OF CARE @ HUTTO |
| Entity Type | Organization |
| Authorized Contact | PETE PERIALAS CEO 512-686-0207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P4217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 53594) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 660624) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |