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LONE STAR CIRCLE OF CARE NPI 1235584848


NPI Information

NPI: 1235584848
Provider Name: LONE STAR CIRCLE OF CARE

Doing Business As: LSCC AT STASSNEY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 45D2165523

Address:
730 W STASSNEY LN
SUITE 110
AUSTIN, TX
ZIP 78745
Phone: (877) 800-5722
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LONE STAR CIRCLE OF CARE is a federally qualified health center (fqhc) clinic center in Austin, TX. LONE STAR CIRCLE OF CARE NPI is 1235584848. The provider is registered as an organization entity type.
The provider Is Doing Business As Lscc At Stassney.

The provider's business location address is:

730 W STASSNEY LN
SUITE 110
AUSTIN, TX
ZIP 78745-982
Phone: (877) 800-5722
Fax: (512) 243-5894

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

The CLIA number assigned to this NPI record is 45D2165523 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2016 and was last updated on 6/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13617300-01MEDICAIDTEXAS
274-1929OTHERTEXASMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.