Provider Demographics
NPI:1811914534
Name:TOLOPKA, CARL (DC)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:TOLOPKA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 139
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-0139
Mailing Address - Country:US
Mailing Address - Phone:281-277-2273
Mailing Address - Fax:281-494-9457
Practice Address - Street 1:4915 S MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4601
Practice Address - Country:US
Practice Address - Phone:281-277-2273
Practice Address - Fax:281-494-9457
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX605049Medicare ID - Type Unspecified