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LONE STAR CIRCLE OF CARE AT RIVERSIDE
NPI 1043633308
Pediatrics in Austin, TX

Active since January 22, 2014CLIA 45D2111743 · Waiver
2410 E RIVERSIDE DR, AUSTIN, TX 78741(877) 800-5722 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lone Star Circle Of Care At Riverside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONE STAR CIRCLE OF CARE AT RIVERSIDE (NPI 1043633308) is a healthcare organization registered as a pediatrics in Austin, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Peter Perialas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043633308
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLONE STAR CIRCLE OF CARE
Location Address2410 E RIVERSIDE DRAustin, TX 78741-3083
Mailing Address205 E University Ave, Suite 200Georgetown, TX 78626-6814 · (877) 800-5722
Phone(877) 800-5722
Organization SubpartNo
Authorized OfficialPeter PerialasCeo · (877) 800-5722
Enumeration DateJanuary 22, 2014
✔ NPI 1043633308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2410 E RIVERSIDE DR, Austin, TX 78741
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Other Names 1

Doing Business AsLone Star Circle Of Care At Riverside

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2111743

Lone Star Circle Of Care - Stassney · Austin, TX
Active · expires Apr 12, 2028
CLIA Number45D2111743
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorKathleen V. Butler
Laboratory Phone(877) 800-5722
Laboratory LocationLone Star Circle Of Care - Stassney730 W Stassney Ste 110, Austin, TX 78745
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANA NAIYER
Speech-Language Pathologist
2410 E RIVERSIDE DR, SUITE B-1
AUSTIN, TX 78741
Travis County (512) 394-0652
ERICA LAVAN MURPHY AYUSO LCSW
Social Worker (Clinical)
2410 E RIVERSIDE DR, STE. G-3
AUSTIN, TX 78741
Travis County (512) 804-3000
NORMA CUEVAS
Specialist/Technologist (Speech-Language Assistant)
2410 E RIVERSIDE DR, SUITE B1
AUSTIN, TX 78741
Travis County (512) 394-0652
BETHANY CAMP LCSW
Social Worker (Clinical)
2410 E RIVERSIDE DR, STEG3
AUSTIN, TX 78741
Travis County (512) 804-3000
SHANNON MARIE SANDREA
Counselor (Professional)
2410 E RIVERSIDE DR
AUSTIN, TX 78741
Travis County (512) 917-2741
GLENN WOOD MD PA
Pediatrics
2410 E RIVERSIDE DR, STE G3
AUSTIN, TX 78741
Travis County (512) 448-4433
ISRAEL SALGADO ESPINOZA LPC
Counselor (Professional)
2410 E RIVERSIDE DR, SUITE G-3
AUSTIN, TX 78741
Travis County (512) 804-3045
YASMINE OSAMA MAVRAKIS RD
Dietitian, Registered
2410 E RIVERSIDE DR
AUSTIN, TX 78741
Travis County (512) 472-4357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lone Star Circle Of Care's NPI number?

The NPI number for Lone Star Circle Of Care is 1043633308. It was assigned to this organization in the NPPES registry on January 22, 2014. The provider is doing business as Lone Star Circle Of Care At Riverside.

Where is Lone Star Circle Of Care located?

Lone Star Circle Of Care is located at 2410 E Riverside Dr, Austin, TX 78741. The listed phone number is (877) 800-5722.

What is Lone Star Circle Of Care's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lone Star Circle Of Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2111743) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lone Star Circle Of Care was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.