Provider Demographics
NPI:1528417995
Name:AFSC, LLC
Entity type:Organization
Organization Name:AFSC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CHIEF OF STAFF
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-610-7411
Mailing Address - Street 1:6500 NORTH MOPAC EXPRESSWAY BLDG 3 #3104
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-451-0149
Mailing Address - Fax:512-451-0977
Practice Address - Street 1:6500 NORTH MOPAC EXPRESSWAY
Practice Address - Street 2:#3104
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3282
Practice Address - Country:US
Practice Address - Phone:512-451-0149
Practice Address - Fax:512-451-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22942Medicare UPIN
TXF61329Medicare UPIN
TXE20053Medicare UPIN