Central Texas Pain Center, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL TEXAS PAIN CENTER, PLLC

Practice address

630 W 34TH St Ste 303
Austin, TX 78705-1232

Phone

(512) 485-7200

Fax

(844) 364-8678

NPI assigned

Aug 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Frederick, MD

Title

MD/Owner

Phone

(125) 485-7208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1033766613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208354",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051232",
            "telephone_number": "512-485-7200",
            "fax_number": "844-364-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "125-485-7208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.