Organization
FABF MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA AMADOR (OFFICE MANAGER)
(713) 694-8800
Entity
Organization
Contact information
Practice address
1708 SPRING GREEN BLVD #200, KATY, TX 77494
(281) 492-1111
(281) 492-1131
Mailing address
1708 SPRING GREEN BLVD STE 200, KATY, TX 77494-7463
(281) 492-1111
(281) 492-1131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007805704
—
TX
Enumeration date
06/09/2017
Last updated
07/21/2022
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