Provider Demographics
NPI:1831128503
Name:ALLIANCE SURGICAL ASSOCIATES OF PLANO, P.A.
Entity Type:Organization
Organization Name:ALLIANCE SURGICAL ASSOCIATES OF PLANO, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOVITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-821-1599
Mailing Address - Street 1:3701 JUNIUS ST
Mailing Address - Street 2:CS11 J003
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2026
Mailing Address - Country:US
Mailing Address - Phone:214-821-1599
Mailing Address - Fax:214-821-8985
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 835
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:214-821-1599
Practice Address - Fax:214-821-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00237YMedicare ID - Type Unspecified