Provider Demographics
NPI:1811564586
Name:TXFAS PLLC
Entity Type:Organization
Organization Name:TXFAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:APPLEGATE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:832-376-8600
Mailing Address - Street 1:24022 CINCO VILLAGE CENTER BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3393
Mailing Address - Country:US
Mailing Address - Phone:832-376-8600
Mailing Address - Fax:832-376-8686
Practice Address - Street 1:16902 SOUTHWEST FWY STE 210
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3574
Practice Address - Country:US
Practice Address - Phone:832-376-8600
Practice Address - Fax:832-376-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty