Healthcare Provider Details

I. General information

NPI: 1467446757
Provider Name (Legal Business Name): FCHN, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5828 BALCONES DR SUITE 105
AUSTIN TX
78731-4256
US

IV. Provider business mailing address

5828 BALCONES DR SUITE 105
AUSTIN TX
78731-4256
US

V. Phone/Fax

Practice location:
  • Phone: 512-453-6449
  • Fax: 512-453-6490
Mailing address:
  • Phone: 512-453-6449
  • Fax: 512-453-6490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. MOLLIE C. FRANCIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 512-453-6449