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Dr. Stephen Richard Tolhurst, MD

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Specializes in: Spine Surgery and Orthopedics/Orthopedic Surgery
University of Chicago, Pritzker School of Medicine (2006)
Professional interests include: bursitis, lumbar discectomy, laminectomy, and more.
3537 I-35 East Suite 308, Denton
Te, TX 76210

Dr. Stephen Richard Tolhurst, MD is a spine surgeon in Te, TX specializing in spine surgery and orthopedics/orthopedic surgery. He graduated from University of Chicago, Pritzker School of Medicine in 2006 and has 20 years of experience. Dr. Stephen Richard Tolhurst, MD is affiliated with Texas Health Resources, Medical City Healthcare, Texas Back Institute (TBI) and Medical City Plano Medical City Denton.

View Doctor's Full Profile (940) 382-2204

Office Locations

Texas Back Institute (TBI)

3537 I-35 East Suite 308, Denton
Te, TX 76210
(940) 382-2204
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Texas Health Resources

4370 Medical Arts Drive Suite 230 River Walk Building Iii
Flower Mound, TX 75028
(972) 956-8181
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4401 Long Prairie Road Suite 500
Flower Mound, TX 75028
(972) 956-8181
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Some issues Dr. Stephen Richard Tolhurst, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Stephen Richard Tolhurst, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

lateral lumbar interbody fusion
nerve block
selective nerve root block
spinal procedures
spine X-ray
subarachnoid block with local anesthetic
transforaminal epidural steroid injection
X-rays

In 2023, Dr. Stephen Richard Tolhurst, MD performed more lateral lumbar interbody fusion (LLIF), nerve block, selective nerve root block (SNRB), spinal procedures, spine X-ray, subarachnoid block with local anesthetic (numbing medicine), transforaminal epidural steroid injection, and X-rays procedures for Medicare patients than 95% of providers in related specialties within Texas.

Top 10%

By Volume:

lumbar interbody fusion
spinal fusion

In 2023, Dr. Stephen Richard Tolhurst, MD performed more lumbar interbody fusion, and spinal fusion procedures for Medicare patients than 90% of providers in related specialties within Texas.

Top 25%

By Volume:

injections
pain management

By Affordability:

anterior lumbar interbody fusion
interbody fusion
lateral interbody fusion
lateral lumbar interbody fusion
lumbar fusion
lumbar interbody fusion
surgical exploration of spinal fusion

In 2012, among providers in related specialties within Texas, Dr. Stephen Richard Tolhurst, MD performed more injections, and pain management procedures for Medicare patients than 75% of them and he also had a list price for anterior lumbar interbody fusion (ALIF), interbody fusion, lateral interbody fusion, lateral lumbar interbody fusion (LLIF), lumbar fusion, lumbar interbody fusion, and surgical exploration of spinal fusion that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2012 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

decompression surgery 12
doctor visit 97
nerve procedures 12
spinal procedures 69
X-rays 57

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2013 were spinal procedures, X-rays, aspiration and injections.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

aspiration 49
bone marrow tests 36
decompression surgery 26
doctor visit 610
fracture surgery 18
injections 41
nerve block 28
nerve procedures 26
open surgery 18
pain management 28
spinal procedures 384
X-rays 298

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 106
Female 172
Ethnicity
Non-Hispanic White 259
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 136
From 75 to 84 75
85 and over 25
Less than 65 42

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2013

Hypertension 75
High Cholesterol 58
Stroke 5
Ischemic Heart Disease 36
Depression 31
Chronic Kidney Disease 21
Asthma 5
Osteoperosis 20
Atrial Fibrilation 8
Heart Failure 15
Chronic Obstructive Pulmonary Disease 18
Diabetes 27
Dementia 8
Cancer 9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2014 were spinal procedures, X-rays, open surgery and fracture surgery.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 11
decompression surgery 26
doctor visit 810
fracture surgery 32
injections 15
nerve block 15
nerve procedures 26
open surgery 32
pain management 15
spinal procedures 568
X-rays 432

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 140
Female 218
Ethnicity
Non-Hispanic White 330
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 198
From 75 to 84 98
85 and over 25
Less than 65 37

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2014

Hypertension 74
High Cholesterol 58
Stroke 6
Ischemic Heart Disease 32
Depression 25
Chronic Kidney Disease 24
Asthma 8
Osteoperosis 17
Atrial Fibrilation 9
Heart Failure 14
Chronic Obstructive Pulmonary Disease 14
Diabetes 28
Dementia 5
Cancer 7

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2015 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 40
decompression surgery 58
doctor visit 878
fracture surgery 38
injections 43
neck surgery 12
nerve block 43
nerve procedures 58
open surgery 38
pain management 43
spinal procedures 698
X-rays 459

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 326
Female 496
Ethnicity
Non-Hispanic White 752
Black 0
Hispanic 28
Asian 0
Other 0
Native American 0
Age
From 65 to 74 444
From 75 to 84 236
85 and over 54
Less than 65 88

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2015

Hypertension 75
High Cholesterol 60
Stroke 6
Ischemic Heart Disease 34
Depression 26
Chronic Kidney Disease 26
Asthma 15
Osteoperosis 18
Atrial Fibrilation 11
Heart Failure 15
Chronic Obstructive Pulmonary Disease 18
Diabetes 29
Dementia 9
Cancer 9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2016 were spinal procedures, X-rays, nerve block and pain management.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 53
aspiration 12
bone marrow tests 12
decompression surgery 77
doctor visit 1066
fracture surgery 21
hospital care 12
injections 78
inpatient care 12
neck surgery 13
nerve block 78
nerve procedures 77
open surgery 21
pain management 78
spinal procedures 895
X-rays 553

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 229
Female 307
Ethnicity
Non-Hispanic White 492
Black 15
Hispanic 17
Asian 0
Other 0
Native American 0
Age
From 65 to 74 315
From 75 to 84 147
85 and over 38
Less than 65 36

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2016

Hypertension 73
High Cholesterol 64
Stroke 6
Ischemic Heart Disease 37
Depression 25
Chronic Kidney Disease 28
Asthma 19
Osteoperosis 15
Atrial Fibrilation 12
Heart Failure 16
Chronic Obstructive Pulmonary Disease 16
Diabetes 31
Dementia 9
Cancer 11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2017 were spinal procedures, X-rays, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 72
decompression surgery 72
doctor visit 1168
hospital care 19
injections 41
inpatient care 19
minimally invasive procedures 27
neck surgery 23
nerve block 41
nerve procedures 84
pain management 53
spinal procedures 1009
X-rays 714

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 237
Female 293
Ethnicity
Non-Hispanic White 486
Black 0
Hispanic 14
Asian 0
Other 12
Native American 0
Age
From 65 to 74 276
From 75 to 84 178
85 and over 40
Less than 65 36

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2017

Hypertension 75
High Cholesterol 59
Stroke 6
Ischemic Heart Disease 38
Depression 28
Chronic Kidney Disease 31
Asthma 10
Osteoperosis 12
Atrial Fibrilation 12
Heart Failure 16
Chronic Obstructive Pulmonary Disease 16
Diabetes 28
Dementia 12
Cancer 15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2018 were spinal procedures, X-rays, pain management and nerve block.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 52
decompression surgery 51
doctor visit 939
injections 73
minimally invasive procedures 16
neck surgery 13
nerve block 73
nerve procedures 67
pain management 89
spinal procedures 889
X-rays 615

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 203
Female 292
Ethnicity
Non-Hispanic White 453
Black 0
Hispanic 12
Asian 0
Other 14
Native American 0
Age
From 65 to 74 238
From 75 to 84 188
85 and over 42
Less than 65 27

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2018

Hypertension 75
High Cholesterol 68
Stroke 5
Ischemic Heart Disease 40
Depression 26
Chronic Kidney Disease 31
Asthma 8
Osteoperosis 10
Atrial Fibrilation 14
Heart Failure 14
Chronic Obstructive Pulmonary Disease 14
Diabetes 28
Dementia 10
Cancer 12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2019 were spinal procedures, X-rays, pain management and nerve block.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 66
decompression surgery 52
doctor visit 744
injections 77
minimally invasive procedures 42
neck surgery 24
nerve block 77
nerve procedures 63
pain management 88
spinal procedures 738
X-rays 438

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 196
Female 244
Ethnicity
Non-Hispanic White 397
Black 0
Hispanic 13
Asian 0
Other 14
Native American 0
Age
From 65 to 74 217
From 75 to 84 163
85 and over 40
Less than 65 20

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2019

Hypertension 74
High Cholesterol 71
Stroke 3
Ischemic Heart Disease 36
Depression 27
Chronic Kidney Disease 30
Asthma 9
Osteoperosis 13
Atrial Fibrilation 14
Heart Failure 14
Chronic Obstructive Pulmonary Disease 14
Diabetes 26
Dementia 13
Cancer 11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2020 were spinal procedures, X-rays, pain management and nerve block.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 41
decompression surgery 39
doctor visit 611
injections 101
minimally invasive procedures 41
neck surgery 13
nerve block 101
nerve procedures 52
pain management 114
spinal procedures 603
X-rays 351

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 188
Female 204
Ethnicity
Non-Hispanic White 357
Black 0
Hispanic 0
Asian 0
Other 13
Native American 0
Age
From 65 to 74 200
From 75 to 84 140
85 and over 31
Less than 65 21

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2020

Hypertension 70
High Cholesterol 69
Stroke 3
Ischemic Heart Disease 35
Depression 25
Chronic Kidney Disease 29
Asthma 8
Osteoperosis 12
Atrial Fibrilation 12
Heart Failure 11
Chronic Obstructive Pulmonary Disease 14
Diabetes 26
Dementia 13
Cancer 9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2021 were spinal procedures, X-rays, nerve block and pain management.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 69
decompression surgery 42
doctor visit 574
injections 108
minimally invasive procedures 42
neck surgery 13
nerve block 108
nerve procedures 42
pain management 108
spinal procedures 701
X-rays 373

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 192
Female 212
Ethnicity
Non-Hispanic White 368
Black 0
Hispanic 11
Asian 0
Other 11
Native American 0
Age
From 65 to 74 213
From 75 to 84 146
85 and over 30
Less than 65 15

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2021

Hypertension 75
High Cholesterol 67
Stroke 5
Ischemic Heart Disease 37
Depression 27
Chronic Kidney Disease 29
Asthma 10
Osteoperosis 8
Atrial Fibrilation 15
Heart Failure 14
Chronic Obstructive Pulmonary Disease 13
Diabetes 29
Dementia 11
Cancer 12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX during 2022 were spinal procedures, X-rays, pain management and nerve block.

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

arthrodesis (bone fusion surgery) 70
bone surgery 17
decompression surgery 33
doctor visit 505
injections 83
minimally invasive procedures 45
neck surgery 17
nerve block 83
nerve procedures 46
pain management 96
spinal procedures 665
X-rays 364

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 159
Female 228
Ethnicity
Non-Hispanic White 350
Black 0
Hispanic 12
Asian 0
Other 0
Native American 0
Age
From 65 to 74 188
From 75 to 84 148
85 and over 36
Less than 65 15

Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 10
Ischemic Heart Disease 28
Depression 26
Chronic Kidney Disease 21
Asthma 11
Osteoperosis 16
Atrial Fibrilation 18
Heart Failure 13
Chronic Obstructive Pulmonary Disease 17
Diabetes 27
Dementia 6
Cancer 16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Stephen Richard Tolhurst, MD for Medicare patients.

The highest averages for the top procedures that Dr. Stephen Richard Tolhurst, MD treated as a spine surgeon in Te, TX were spinal procedures, X-rays, pain management and injections.

arthrodesis (bone fusion surgery) 52
aspiration 30
bone marrow tests 24
bone surgery 17
decompression surgery 44
doctor visit 727
fracture surgery 27
hospital care 15
injections 66
inpatient care 15
minimally invasive procedures 35
neck surgery 16
nerve block 64
nerve procedures 50
open surgery 27
pain management 71
spinal procedures 656
X-rays 423

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Stephen Richard Tolhurst, MD.

Gender
Male 179
Female 242
Ethnicity
Black / African American 1
Asian / Pacific Islander 0
Non-Hispanic White 385
Native American / Alaskan Native 0
Hispanic 9
Other 5
Age
75 to 84 138
85 and over 32
Less than 65 30
65 to 74 220

Average of Total of Conditions of Medicare patients treated by Dr. Stephen Richard Tolhurst, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Stephen Richard Tolhurst, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension 67
High Cholesterol 59
Stroke 5
Ischemic Heart Disease 32
Depression 24
Chronic Kidney Disease 24
Asthma 9
Osteoporosis 12
Heart Failure 12
Chronic Obstructive Pulmonary Disease 14
Diabetes 25
Atrial Fibrillation 11
Dementia 8
Cancer 10

Education & Training

Dr. Stephen Richard Tolhurst, MD graduated from University of Chicago, Pritzker School of Medicine in 2006. He completed residency at University of Michigan Affiliated Hospitals. He is certified by the Board Certified, American Board of Orthopaedic Surgery and has a state license in Texas.

Medical School: University of Chicago, Pritzker School of Medicine (2006)

Residency: University of Michigan Affiliated Hospitals (2011)

Board Certification: Board Certified, American Board of Orthopaedic Surgery

Licensed In: Texas

Affiliations & Hospitals

Dr. Stephen Richard Tolhurst, MD is associated with these hospitals and organizations:

Texas Health Resources
Medical City Healthcare
Texas Back Institute (TBI)
Medical City Plano Medical City Denton

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General Payments

These charts describe general payments received by Dr. Stephen Richard Tolhurst, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Innovasis Inc $637,847 LXHA
$36,116 		BUTTRESSPLATE
$11,271 		Buttress Plate
$632
$589,829
Curiteva, Inc. $176,086 PRODIGY PEDICLE SCREW SYSTEM
$26,345
$149,741
Medacta USA, Inc. $72,025 MUST
$37,482 		MySpine
$14,280 		MectaLif
$13,846 		Quadra
$5,916
$500
Exactech, Inc. $69,883 Silverbolt
$65,159 		Equinoxe
$4,623 		Optetrak
$101
K2M, Inc. $41,961 General K2M Product Discussion
$34,763 		CAYMAN Plate System
$4,542 		RAVINE Lateral Access System
$765 		ALEUTIAN Lateral System
$91 		EVEREST Spinal System
$58 		Other
$1,743
Other $155,065 Other - Miscellaneous
$26,308 		Ascendant
$19,013 		Spine Implant
$16,627 		Idys-LLIF 3DTi
$12,522 		Battalion TLIF - PC
$8,188 		Other
$72,408
Types of Payments
Consulting Fee $735,924
Royalty or License $292,605
Travel and Lodging $89,727
Food and Beverage $22,124
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $10,575
Other $1,914

Biography

Dr. Stephen Tolhurst is a spine surgery and orthopedics/orthopedic surgery specialist. Dr. Tolhurst's clinical interests include laminectomy, cervical discectomy, and myositis. After attending the University of Chicago, Pritzker School of Medicine, he completed his residency training at a hospital affiliated with the University of Michigan. He has received the following distinctions: Texas Super Doctors and Texas Rising Stars. He is affiliated with Texas Back Institute (TBI), Texas Health Flower Mound, and Medical City Healthcare.