Provider Demographics
NPI:1366986929
Name:DOCTX3 PLLC
Entity type:Organization
Organization Name:DOCTX3 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-921-4787
Mailing Address - Street 1:2805 DALLAS PKWY
Mailing Address - Street 2:SUITE 640
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8719
Mailing Address - Country:US
Mailing Address - Phone:469-277-8253
Mailing Address - Fax:
Practice Address - Street 1:3412 E HEBRON PKWY
Practice Address - Street 2:SUITE 106
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4452
Practice Address - Country:US
Practice Address - Phone:469-277-8253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center