Organization Active NPI

Turtle Creek Medical Management Corp

  • Pain Clinic/Center
  • Dallas, TX
National Provider Identifier
1114239076
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
261QP3300X Issued in TX
Legal business name
TURTLE CREEK MEDICAL MANAGEMENT CORP
Practice address
3131 Turtle Creek Blvd
Suite 1101
Dallas, TX 75219-5405
Phone
(214) 526-1133
Fax
(214) 526-1136
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony James Polk
Title
President
Phone
(214) 526-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 261QP3300X TX Primary

Addresses

Primary practice location

3131 Turtle Creek Blvd
Suite 1101
Dallas, TX 75219-5405

Mailing address

3131 Turtle Creek Blvd
Suite 1101
Dallas, TX 75219-5405
Phone (214) 526-1133

Other names 1

  • Turtle Creek Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1114239076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD",
            "address_2": "SUITE 1101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "214-526-1133",
            "fax_number": "214-526-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD",
            "address_2": "SUITE 1101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "214-526-1133",
            "fax_number": "214-526-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE CREEK MEDICAL MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-526-1133"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "261QP3300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turtle Creek Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.