Organization
CENTRAL TEXAS PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FREDERICK (MD/AUTHORIZED OFFICER)
(512) 485-7208
Entity
Organization
Contact information
Practice address
3201 S AUSTIN AVE STE 265, GEORGETOWN, TX 78626-7641
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208357, DALLAS, TX 75320-8357
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
J7566
TX
Other
Enumeration date
11/17/2015
Last updated
07/09/2025
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