NPI | 1679351555 |
---|---|
Doing Business As | LONE STAR CIRCLE OF CARE ADULT MEDICINE AT ST. JOHN |
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 | 2023-09-20 |
Last Update Date | 2023-09-21 |