Basic Information
| Provider Information | |||||||||
| NPI: | 1790264687 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTX3 PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2805 DALLAS PKWY STE 640 | ||||||||
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| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750938724 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 11514 BEE CAVES RD. | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | BEE CAVE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5128881201 | ||||||||
| FaxNumber: | 5128881202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2018 | ||||||||
| LastUpdateDate: | 08/10/2018 | ||||||||
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| AuthorizedOfficialLastName: | HASSINGER | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5128881201 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.