# COURTNEY G. TRYLOVICH, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790968105
- **Authorized official:** CAROL ANN GROSS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (972) 378-3153

## Contact information

- **Practice address:** 6124 W PARKER RD STE 530, PLANO, TX 75093-8140
- **Practice address phone:** (972) 378-3153
- **Practice address fax:** (972) 378-3154
- **Mailing address:** 6124 W PARKER RD STE 530, PLANO, TX 75093-8140
- **Mailing address phone:** (972) 378-3153
- **Mailing address fax:** (972) 378-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J6455 | TX | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 12/07/2007