Healthcare Provider Details

I. General information

NPI: 1992775753
Provider Name (Legal Business Name): ALOK JAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3242 PRESTON RD STE 203
PLANO TX
75093-3317
US

IV. Provider business mailing address

5221 RUNNIN RIVER DR
PLANO TX
75093-7558
US

V. Phone/Fax

Practice location:
  • Phone: 469-396-2408
  • Fax:
Mailing address:
  • Phone: 469-396-2408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberL8383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: