LONE STAR CIRCLE OF CARE NPI 1154515500

NPI Information

NPI: 1154515500
Provider Name: LONE STAR CIRCLE OF CARE
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
205 E UNIVERSITY AVE
SUITE 200
GEORGETOWN, TX
ZIP 78626
Phone: (512) 868-1124
Get Directions

LONE STAR CIRCLE OF CARE is a neonatal-perinatal medicine pediatrics in Georgetown, TX. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. LONE STAR CIRCLE OF CARE NPI is 1154515500. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

205 E UNIVERSITY AVE
SUITE 200
GEORGETOWN, TX
ZIP 78626-814
Phone: (512) 868-1124
Fax: (512) 868-9894

The provider's authorized official is Rhonda Mundhenk .
The authorized official title is Ceo and has the following contact phone number (512) 868-1124.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 10/8/2014.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	162922201	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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