Organization
THE SPINE AND PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WALLACE MD (OWNER)
(918) 727-7246
Entity
Organization
Contact information
Practice address
1919 S WHEELING AVE STE 204, TULSA, OK 74104-5631
(918) 727-7246
Mailing address
1919 S WHEELING AVE STE 204, TULSA, OK 74104-5631
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
10/31/2025
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