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Contact Information

THE SPINE AND PAIN CENTER LLC
1919 S WHEELING AVE STE 204
TULSA, OK74104-5631
 Phone: 918-727-7246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THE SPINE AND PAIN CENTER LLC

NPI # 1689144602
LBN Legal business name THE SPINE AND PAIN CENTER LLC
Authorized official ADAM WALLACE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2018
Last updated 10/31/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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