# THE SPINE AND PAIN CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689144602
- **Authorized official:** ADAM WALLACE MD (OWNER)
- **Authorized official phone:** (918) 727-7246

## Contact information

- **Practice address:** 1919 S WHEELING AVE STE 204, TULSA, OK 74104-5631
- **Practice address phone:** (918) 727-7246
- **Mailing address:** 1919 S WHEELING AVE STE 204, TULSA, OK 74104-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2018
- **Last updated:** 10/31/2025