| Lone Star Circle Of Care | |
|
605 Old Austin Hwy Bastrop TX 78602-5034 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | Lone Star Circle Of Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 605 Old Austin Hwy, Bastrop, Texas |
| Authorized Official Name and Position | Jonathan David Calvin (CEO) |
| Authorized Official Contact | 5129941933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Circle Of Care 2423 Williams Dr Ste 107 Georgetown TX 78628-3269 Ph: (877) 800-5722 | Lone Star Circle Of Care 605 Old Austin Hwy Bastrop TX 78602-5034 Ph: (877) 800-5722 |
| NPI Number | 1306236187 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 05/12/2025 |
| Medicare PECOS PAC ID | 5193709392 |
|---|---|
| Medicare Enrollment ID | O20150313000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306236187 | NPI | - | NPPES |
| 3439028-01 | Medicaid | TX | |
| 74-1883 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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