Spine & Joint Pain Management Center

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC2582 Issued in TX

Legal business name

SPINE & JOINT PAIN MANAGEMENT CENTER

Practice address

202 S. Alamo
Suite I
Marshall, TX 75670

Phone

(903) 935-2700

Fax

(903) 935-2751

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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

Dr. Gerald Anthony Polk, D.C.

Title

Pres.

Phone

(903) 935-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932328556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S. ALAMO",
            "address_2": "SUITE I",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-935-2700",
            "fax_number": "903-935-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S. ALAMO",
            "address_2": "SUITE I",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-935-2700",
            "fax_number": "903-935-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & JOINT PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "903-935-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "DC2582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arris Lee Slaughter Jr., CRNA
• Grady Smith
• Heather Smith, RD, LD
• Ashley Sneed
• Jenny Spearman
• Melody Spray, LVN
• Candice Marie Starling, LVN
• Wendy Ann Starnes, AGNP-C, AGPCNP-BC
• Douglas Stephenson, DO
• Abel Stevenson

• Rehabilitation Chiropractor in Marshall, TX
• Providers in Marshall, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.