NPI | 1639129331 |
---|---|
Doing Business As | LONE STAR CIRCLE OF CARE AT GEORGETOWN DENTAL |
Entity Type | Organization |
Authorized Contact | JONATHAN DAVID CALVIN CEO 512-994-1933 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2023-09-18 |