Organization
TARPON PLLC
Active
Other names
Tarpon Interventional Pain & Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERIWETHER LEWIS FRAZIER JR. MD (OWNER/MD)
(972) 596-1059
Entity
Organization
Contact information
Practice address
8080 INDEPENDENCE PARKWAY, 110, PLANO, TX 75025
(972) 596-1059
(972) 612-5410
Mailing address
PO BOX 251707, PLANO, TX 75025-1707
(972) 596-1059
(972) 612-5410
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049PM
BCBS OF TEXAS
TX
01
—
DO2463
RAILROAD MEDICARE
TX
Enumeration date
04/11/2007
Last updated
11/19/2024
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