Provider Demographics
NPI:1235145681
Name:FSAUSTIN1, INC
Entity Type:Organization
Organization Name:FSAUSTIN1, INC
Other - Org Name:FOOT SOLUTIONS OF AUSTIN, TX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TILNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-241-0051
Mailing Address - Street 1:10225 RESEARCH BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5743
Mailing Address - Country:US
Mailing Address - Phone:512-241-0051
Mailing Address - Fax:512-241-0105
Practice Address - Street 1:10225 RESEARCH BLVD STE 330
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5743
Practice Address - Country:US
Practice Address - Phone:512-241-0051
Practice Address - Fax:512-241-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies