Organization
CENTRAL PLANO SPORTS SURGICAL ALLIANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL TROOP (MANAGER)
(972) 250-5442
Entity
Organization
Contact information
Practice address
5228 W PLANO PKWY, PLANO, TX 75093-5005
(972) 374-5351
Mailing address
1141 N LOOP 1604 E # 105-612, SAN ANTONIO, TX 78232-1339
(210) 598-4262
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
09/07/2023
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