Provider Demographics
NPI:1235792169
Name:DOCTX3 PLLC
Entity Type:Organization
Organization Name:DOCTX3 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMOINE MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-983-0303
Mailing Address - Street 1:5040 ADDISON CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6049
Mailing Address - Country:US
Mailing Address - Phone:214-983-0303
Mailing Address - Fax:214-983-0301
Practice Address - Street 1:3100 UNICORN LAKE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-1544
Practice Address - Country:US
Practice Address - Phone:214-444-5558
Practice Address - Fax:214-531-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies