Provider Demographics
NPI:1194270579
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
Mailing Address - Street 2:SUITE 240
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8397
Mailing Address - Country:US
Mailing Address - Phone:832-376-8600
Mailing Address - Fax:832-376-8686
Practice Address - Street 1:24022 CINCO VILLAGE CENTER BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8397
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:2016-08-16
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2188213ES0103X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies