LONE STAR CIRCLE OF CARE (NPI# 1376840140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376840140 |
| Entity Type | Organization |
| Organization Name | LONE STAR CIRCLE OF CARE |
| Other Organization Name | FAMILY AND CHILDREN'S CLINIC AT CLEAR CREEK |
| Practice Address |
2300 S Clear Creek Rd Suite 105 Killeen TX 76549-4985 |
| Mailing Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 2545543741 |
| Mailing Telephone | (512) 868-1124 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | RHONDA MUNDHENK JR. (CEO) |
| Authorized Official Telephone | 5128681124 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONE STAR CIRCLE OF CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2186900-02 | 05 |
| Other Name | Type Code |
|---|---|
| Family and Children's Clinic at Clear Creek | Doing Business As Name - Organization |
| Lone Star Circle of Care Pediatrics at Clear Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588096473 | Lone Star Circle of Care | Social Worker | 101 Fm 685, Hutto, TX 78634-5540 | 2013-08-02 |
| 1780923045 | Lone Star Circle of Care | Clinic/Center | 11111 Research Blvd Ste 295, Austin, TX 78759-5281 | 2013-02-06 |
| 1346550464 | Lone Star Circle of Care | Clinic/Center | 600 S 25th St, Temple, TX 76504-5227 | 2010-10-08 |
| 1245554583 | Lone Star Circle of Care | Pharmacy | 3950 North Aw Grimes, Suite N105, Round Rock, TX 78665 | 2010-03-16 |
| 1003051673 | Lone Star Circle of Care | Clinic/Center | 905 Ih 35 N, Suite 109, Round Rock, TX 78664-4254 | 2008-12-10 |
| 1710169198 | Lone Star Circle of Care | Pediatrics | 1500 W University Ave Ste 103, Georgetown, TX 78628-7109 | 2007-11-28 |
| 1639225550 | Lone Star Circle of Care | Case Manager/Care Coordinator | 3102 Minthorn Dr, Killeen, TX 76542-1932 | 2007-01-25 |
| 1447316898 | Lone Star Circle of Care | Clinic/Center | 2300 Round Rock Ave Ste 208, Round Rock, TX 78681-4026 | 2006-12-29 |
| 1578515987 | Lone Star Circle of Care | Clinic/Center | 115 West Davilla, Granger, TX 76530 | 2006-05-16 |
| 1437109881 | Lone Star Circle of Care | Clinic/Center | 1099 East Main Street, Suite 200, Round Rock, TX 78664 | 2006-05-10 |
| Street Address |
2300 S CLEAR CREEK RD SUITE 105 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541219 | Monty Lee Gohl | Surgery | 2300 S Clear Creek Rd, Killeen, TX 76549-4984 | 2005-07-13 |
| 1790026946 | Mandy Elaine Ethridge | Counselor | 2300 S Clear Creek Rd, Suite 205, Killeen, TX 76549-4984 | 2013-03-13 |
| 1649559188 | Shivani Patel | Pediatrics | 2300 S Clear Creek Rd, Suite 105, Killeen, TX 76549-4984 | 2011-08-15 |
| 1366632580 | Horatio Sprague Taveau Iv | General Practice | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4984 | 2007-07-25 |
| 1851590087 | Petra Welch | Nurse Practitioner | 2300 S Clear Creek Rd, Suite 103, Killeen, TX 76549-4984 | 2007-07-17 |
| 1134286024 | William Robert Rediske | Podiatrist | 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-4984 | 2007-01-02 |
| 1215097761 | Karen Lynn Seitz | Nurse Practitioner | 2300 S Clear Creek Rd, Killeen, TX 76549-4984 | 2006-12-12 |
| 1306930250 | H. Sprague Taveau Iv Do Pa | General Practice | 2300 S Clear Creek Rd, Suite 101, Killeen, TX 76549-4984 | 2006-10-03 |
| 1760594329 | Shree Om Shrestha | Psychiatry & Neurology | 2300 S Clear Creek Rd, Killeen, TX 76549-4984 | 2006-08-31 |
| 1346275971 | Robert L. Allred Md Pa | Orthopaedic Surgery | 2300 S Clear Creek Rd, Suite 203, Killeen, TX 76549-4984 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.