Organization
FLOSS 5TH AUSTIN PLLC
Active
Parent organization
FLOSS 5TH AUSTIN PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLOSS 5TH AUSTIN PLLC
Authorized official
AMANDA MARANDA (OPERATIONS MANAGER)
(512) 221-7419
Entity
Organization
Contact information
Practice address
1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
(512) 617-0101
(512) 505-8151
Mailing address
1011 W 5TH ST STE 120, AUSTIN, TX 78703-5363
(512) 617-0101
(512) 505-8151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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