MEDICARE: DOCTX3 PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053028704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTX3 PLLC

Provider Business Mailing Address
First Line	:	5040 ADDISON CIR STE 400
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-6049
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 CRYSTAL FALLS PKWY BLDG 10
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-3666
Country	:	US
Telephone Number	:	737-377-3781
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIELLE LEMOINE MAXWELL
Credential	:
Telephone Number	:	214-983-0303

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/02/2022

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