LONE STAR CIRCLE OF CARE NPI 1356766166

NPI Information

NPI: 1356766166
Provider Name: LONE STAR CIRCLE OF CARE

Doing Business As: TEXAS CHILD STUDY CENTER

Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1600 W 38TH ST
STE. 212
AUSTIN, TX
ZIP 78731
Phone: (877) 800-5722
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LONE STAR CIRCLE OF CARE is an adolescent medicine internal medicine in Austin, TX. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LONE STAR CIRCLE OF CARE NPI is 1356766166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Texas Child Study Center.

The provider's business location address is:

1600 W 38TH ST
STE. 212
AUSTIN, TX
ZIP 78731-400
Phone: (877) 800-5722

The provider's authorized official is Peter C. Periales .
The authorized official title is Ceo and has the following contact phone number (512) 686-0207.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	P6469	TEXAS	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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