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Organization

FASA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERYL YACKEL (MANAGER)
(281) 685-3669
Entity
Organization

Contact information

Practice address
2840 BUSINESS LOOP 181 N STE 170, FLORESVILLE, TX 78114-6665
(281) 685-3669
(888) 979-8450
Mailing address
2840 BUSINESS LOOP 181 N STE 170, FLORESVILLE, TX 78114-6665
(281) 685-3669

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
02/16/2018
Last updated
02/16/2018
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