# FBL ATX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Floss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780186825
- **Authorized official:** AMANDA MARANDA (OPERATIONS MANAGER)
- **Authorized official phone:** (512) 221-7419

## Contact information

- **Practice address:** 9901 BRODIE LN STE 130, AUSTIN, TX 78748-5889
- **Practice address phone:** (512) 282-4271
- **Mailing address:** 9901 BRODIE LN STE 130, AUSTIN, TX 78748-5889
- **Mailing address phone:** (512) 282-4271

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 03/05/2018