Provider Demographics
NPI:1942492210
Name:TROY ALLAM
Entity Type:Organization
Organization Name:TROY ALLAM
Other - Org Name:CRAIG RANCH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-644-0810
Mailing Address - Street 1:2300 MCDERMOTT RD STE 200-296
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-7016
Mailing Address - Country:US
Mailing Address - Phone:214-644-0810
Mailing Address - Fax:214-644-0813
Practice Address - Street 1:8880 STATE HIGHWAY 121 STE 152
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3132
Practice Address - Country:US
Practice Address - Phone:214-644-0810
Practice Address - Fax:214-644-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty