| Fsl Atx Llc | |
|
2708 S Lamar Blvd Ste 100a Austin TX 78704-3964 | |
| (737) 202-4214 | |
| Not Available |
| Full Name | Fsl Atx Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2708 S Lamar Blvd Ste 100a, Austin, Texas |
| Authorized Official Name and Position | Amanda Maranda (OPERATIONS MANAGER) |
| Authorized Official Contact | 5122217419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fsl Atx Llc 2708 S Lamar Blvd Ste 100a Austin TX 78704-3964 Ph: (737) 202-4214 | Fsl Atx Llc 2708 S Lamar Blvd Ste 100a Austin TX 78704-3964 Ph: (737) 202-4214 |
| NPI Number | 1013422252 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013422252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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