Organization
TOLLROAD SPINE INSTITUTE PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLETTA POPE (BILLING SUPERVISOR)
(972) 479-1115
Entity
Organization
Contact information
Practice address
17110 DALLAS PKWY STE 125, DALLAS, TX 75248-1181
(972) 479-1115
(972) 346-8013
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(972) 479-1115
(972) 346-8013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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