# FAS OF TW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942011986
- **Authorized official:** MARCIN NOBLE VACLAW DPM (PHYSICIAN)
- **Authorized official phone:** (281) 909-7722

## Contact information

- **Practice address:** 9191 PINECROFT DR STE 100, SHENANDOAH, TX 77380-2797
- **Practice address phone:** (346) 590-2730
- **Mailing address:** 434 W ASCENSION WAY STE 425, MURRAY, UT 84123-3102
- **Mailing address phone:** (801) 292-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 10/14/2025