Provider Demographics
NPI:1871041913
Name:RRR HYPERBARICS 3 LLC
Entity Type:Organization
Organization Name:RRR HYPERBARICS 3 LLC
Other - Org Name:R3 HYPERBARICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-582-5304
Mailing Address - Street 1:4545 HERITAGE TRACE PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-8921
Mailing Address - Country:US
Mailing Address - Phone:210-582-5304
Mailing Address - Fax:210-582-5307
Practice Address - Street 1:4545 HERITAGE TRACE PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-8921
Practice Address - Country:US
Practice Address - Phone:210-582-5304
Practice Address - Fax:210-582-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty