FSL Atx LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FSL ATX LLC

Practice address

2708 S Lamar Blvd Ste 100a
Austin, TX 78704-3964

Phone

(737) 202-4214

NPI assigned

Dec 11, 2017

Organization subpart

Yes

Parent organization

FSL ATX LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Maranda

Title

Operations Manager

Phone

(512) 221-7419

Specialties & licenses 1

Addresses

Part of

FSL Atx LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1013422252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S LAMAR BLVD STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043964",
            "telephone_number": "737-202-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S LAMAR BLVD STE 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043964",
            "telephone_number": "737-202-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL ATX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FSL ATX LLC",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "MARANDA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "512-221-7419"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Frye-Patch, PT, DPT
• Bethany Jane Frye, LCSW-S, LCDC
• Dean Jacob Frye, MOTR/L
• FS Austin1, Inc.
• Fsaustin1, Inc
• Jennifer Jeanjean Fu, DDS
• Kai-Ting Fu
• Timothy Fu
• Araceli Monique Fuentes-Lopez, PA-C
• Andres Fuentes

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.