NPI | 1669603361 |
---|---|
Doing Business As | LONE STAR CIRCLE OF CARE AT LAKE AIRE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | JONATHAN DAVID CALVIN CEO 512-994-1933 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2023-09-18 |