Tollroad Spine Institute Pain Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TOLLROAD SPINE INSTITUTE PAIN CENTER, LLC

Practice address

17110 Dallas Pkwy Ste 125
Dallas, TX 75248-1181

Phone

(972) 479-1115

Fax

(972) 346-8013

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carletta Pope

Title

Billing Supervisor

Phone

(972) 479-1115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1881854313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268866",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268866",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481181",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLLROAD SPINE INSTITUTE PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "CARLETTA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "972-479-1115"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Adam Tolle, M.D.
• Stuart W Tolle, CP
• Sheryl Lynn Tollenaar, DC
• Danielle Nicole Tolliver, MOT, OTR/L
• Raven Tolliver
• Tom G. Mayer, M.D., P.a.
• Donald Hoo Tom, MD
• Leon LQ Tom, DC
• William James Tom, MD
• George Toma, M.D.

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.