Provider Demographics
NPI:1649701525
Name:DOCTX3 PLLC
Entity type:Organization
Organization Name:DOCTX3 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-983-0303
Mailing Address - Street 1:2000 S IH 35
Mailing Address - Street 2:SUITE N5
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-6900
Mailing Address - Country:US
Mailing Address - Phone:214-983-0303
Mailing Address - Fax:
Practice Address - Street 1:2000 S IH 35
Practice Address - Street 2:SUITE N5
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-6900
Practice Address - Country:US
Practice Address - Phone:214-983-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty