NPI | 1710581145 |
---|---|
Doing Business As | LONE STAR CIRCLE OF CARE AT GISD RICHARTE |
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 | 2020-11-25 |
Last Update Date | 2024-06-17 |