LONE STAR CIRCLE OF CARE (NPI# 1710284542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710284542 |
| Entity Type | Organization |
| Organization Name | LONE STAR CIRCLE OF CARE |
| Other Organization Name | LONE STAR CIRCLE OF CARE PEDIATRICS AT HARKER HEIGHTS |
| Practice Address |
200 Nola Ruth Blvd Harker Heights TX 76548-6074 |
| Mailing Address |
205 E University Ave Suite 200 Georgetown TX 78626-6814 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 2546981673 |
| Mailing Telephone | (512) 868-1124 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | MS. RHONDA MUNDHENK (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 | 2808107-01 | 05 |
| Other Name | Type Code |
|---|---|
| Lone Star Circle of Care Pediatrics at Harker Heights | 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 |
200 NOLA RUTH BLVD |
| City | HARKER HEIGHTS |
| State | TX |
| Zip Code | 76548-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078506 | Luther Street | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2005-07-21 |
| 1457901639 | Carla Davis | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2019-09-18 |
| 1942665427 | Rubi Ramirez | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2015-12-28 |
| 1700101359 | Kofoworola Ohiomoba | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2010-04-06 |
| 1609008655 | Karen M Laird | Nurse Practitioner | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2009-08-10 |
| 1013171412 | Ezhilarasi Manickavasagam | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2008-07-15 |
| 1417095639 | Family & Children's Clinic, Pa | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2007-02-01 |
| 1053481390 | Denise Marie Dhawan | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2006-11-08 |
| 1225139934 | Robert Jean-luc Organ | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2006-09-26 |
| 1356359814 | Yasmeen Ali | Pediatrics | 200 Nola Ruth Blvd, Harker Heights, TX 76548-6074 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104109 | Bryan C Sigoloff | Pharmacist | 601 Indian Trail Dr., Harker Heights, TX 76548 | 2020-08-11 |
| 1558903377 | Rebecca Jean Droge | Behavior Technician | 904 Mountain Lion Circle Ste 500, Harker Heights, TX 76548 | 2019-10-14 |
| 1750939252 | Dianne Scott | Licensed Vocational Nurse | 611 B Pima, Harker Heights, TX 76548 | 2019-08-28 |
| 1972084853 | Lorrie Miller Price | Licensed Vocational Nurse | 306 Live Oak Dr, Harker Heights, TX 76548 | 2018-08-28 |
| 1740761592 | Thomas Wesley Newton | Physical Therapy Assistant | 1415 Indian Oaks Drive, Harker Heights, TX 76548 | 2018-08-28 |
| 1821575812 | Amber Cepeda | Counselor | 1420 Loblolly Dr, Harker Heights, TX 76548 | 2018-07-23 |
| 1609385913 | Harker Heights Periodontics Pa | Dentist | 410 E. Central Texas Expwy, Harker Heights, TX 76548 | 2017-09-29 |
| 1821512757 | Muwanguzi K Pllc | Dentist | 980 Knight's Way, Harker Heights, TX 76548 | 2017-08-02 |
| 1477915957 | Constance Elaine King | Nurse Practitioner | 850 W Central Expy, Harker Heights, TX 76548 | 2016-03-24 |
| 1861869588 | Jenalee Schwab | Pharmacist | 201 E Central Expy, Suite 300, Harker Heights, TX 76548 | 2015-08-28 |
| Find all providers in zip 76548 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528366648 | Lone Star Circle of Care | Clinic/Center | 775 Indian Trl, Suite 200, Harker Heights, TX 76548-7026 | 2011-03-14 |
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| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1568075638 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center, Suite 1317, Wharton, TX 77488-9719 | 2020-08-28 |
| 1144831835 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488-9719 | 2020-08-14 |
| 1780295741 | East Texas Border Health Clinic | Clinic/Center | 705 S Grove St, Marshall, TX 75670-5220 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | HARKER HEIGHTS |
| Zip Code | 76548 |
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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.