# TARPON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tarpon Interventional Pain & Spine Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093369282
- **Authorized official:** DR. MERIWETHER LEWIS FRAZIER JR. MD (OWNER/MD)
- **Authorized official phone:** (972) 596-1059

## Contact information

- **Practice address:** 8080 INDEPENDENCE PARKWAY, SUITE 110, PLANO, TX 75025
- **Practice address phone:** (972) 596-1059
- **Practice address fax:** (972) 612-5410
- **Mailing address:** PO BOX 251707, PLANO, TX 75025-1707
- **Mailing address phone:** (972) 596-1059
- **Mailing address fax:** (972) 612-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 11/19/2024