# FSL ATX LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FSL ATX LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013422252
- **Legal business name:** FSL ATX LLC
- **Authorized official:** AMANDA MARANDA (OPERATIONS MANAGER)
- **Authorized official phone:** (512) 221-7419

## Contact information

- **Practice address:** 2708 S LAMAR BLVD STE 100A, AUSTIN, TX 78704-3964
- **Practice address phone:** (737) 202-4214
- **Mailing address:** 2708 S LAMAR BLVD STE 100A, AUSTIN, TX 78704-3964
- **Mailing address phone:** (737) 202-4214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2017
- **Last updated:** 12/11/2017