Provider Demographics
NPI:1386116408
Name:TOL PLLC
Entity type:Organization
Organization Name:TOL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:STRANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-458-9200
Mailing Address - Street 1:6101 BALCONES DR STE 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4231
Mailing Address - Country:US
Mailing Address - Phone:512-458-2000
Mailing Address - Fax:512-458-9300
Practice Address - Street 1:6101 BALCONES DR STE 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4231
Practice Address - Country:US
Practice Address - Phone:512-458-2000
Practice Address - Fax:512-458-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-31
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497144109OtherINDIVIDUAL NPI
TX8FE165OtherBCBS PROVIDER NUMBER
TX12816OtherSTATE LICENSE