Fabf Management, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19674 Issued in TX

Legal business name

FABF MANAGEMENT, LLC

Practice address

1708 Spring Green Blvd #200
Katy, TX 77494

Phone

(281) 492-1111

Fax

(281) 492-1131

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Tanya Amador

Title

Office Manager

Phone

(713) 694-8800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578092748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947463",
            "telephone_number": "281-492-1111",
            "fax_number": "281-492-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 SPRING GREEN BLVD #200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-492-1111",
            "fax_number": "281-492-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABF MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-694-8800"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007805704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Godly Ezeakachi
• Julian Ezeakile
• Insiya Ezzi, DMD
• F&F Collective LLC
• F&J Tech Consulting LLC
• Jackeline Faccini, BCBA
• Face Value Wellness & Spa
• Folashade Abosede Fadairo
• Tonia Fadare, NP
• Esraa Fadl

• Dental Clinic/Center in Katy, TX
• Providers in Katy, 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 Jul 21, 2022; 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.