Organization
COURTNEY G. TRYLOVICH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN GROSS (PRACTICE ADMINISTRATOR)
(972) 378-3153
Entity
Organization
Contact information
Practice address
6124 W PARKER RD STE 530, PLANO, TX 75093-8140
(972) 378-3153
(972) 378-3154
Mailing address
6124 W PARKER RD STE 530, PLANO, TX 75093-8140
(972) 378-3153
(972) 378-3154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J6455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053JV
BCBS
TX
01
—
5611561
AETNA
TX
Enumeration date
12/07/2007
Last updated
12/07/2007
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