# CENTRAL TEXAS PAIN CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952958530
- **Authorized official:** DR. DANIEL FREDERICK MD (MD/OWNER)
- **Authorized official phone:** (512) 485-7208

## Contact information

- **Practice address:** 7235 BOAT CLUB RD, FORT WORTH, TX 76179-4555
- **Practice address phone:** (817) 677-9535
- **Practice address fax:** (817) 677-9536
- **Mailing address:** PO BOX 208354, DALLAS, TX 75320-8354
- **Mailing address phone:** (512) 485-7208
- **Mailing address fax:** (844) 364-8678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 09/11/2020