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Organization
CENTRAL TEXAS PAIN CENTER, PLLC
Active
Organization
CENTRAL TEXAS PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FREDERICK MD (MD/OWNER)
(512) 485-7208
Entity
Organization
Contact information
Practice address
1304 WONDER WORLD DR, SAN MARCOS, TX 78666-7532
(512) 498-1029
(888) 972-1190
Mailing address
PO BOX 208354, DALLAS, TX 75320-8354
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
L9364
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/05/2018
Last updated
09/11/2020
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