Provider Demographics
NPI:1992775753
Name:JAIN, ALOK (MD)
Entity type:Individual
Prefix:
First Name:ALOK
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 RUNNIN RIVER DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7558
Mailing Address - Country:US
Mailing Address - Phone:469-396-2408
Mailing Address - Fax:
Practice Address - Street 1:3242 PRESTON RD STE 203
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3317
Practice Address - Country:US
Practice Address - Phone:469-396-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL83832080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164220903Medicaid
TX164220902Medicaid
TX164220901Medicaid
TX164220904Medicaid
TX164220905Medicaid
TX164220906Medicaid