Healthcare Provider Details

I. General information

NPI: 1528417995
Provider Name (Legal Business Name): AFSC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 NORTH MOPAC EXPRESSWAY #3104
AUSTIN TX
78731-3282
US

IV. Provider business mailing address

6500 NORTH MOPAC EXPRESSWAY BLDG 3 #3104
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0149
  • Fax: 512-451-0977
Mailing address:
  • Phone: 512-451-0149
  • Fax: 512-451-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. KAYLEN SILVERBERG
Title or Position: MEDICAL CHIEF OF STAFF
Credential: M.D.
Phone: 512-610-7411