Individual
DANIEL ANTHONY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4316 JAMES CASEY ST STE B, AUSTIN, TX 78745-1157
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208357, DALLAS, TX 75320-8354
(512) 485-7208
(737) 304-0942
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L6044
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
L6044
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L6044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134818
TEXAS MEDICARE
TX
05
—
1578155-04
—
TX
01
—
8L29372
TEXAS MEDICARE
TX
01
—
8V8050
BCBS PROVIDER NUMBER
TX
Enumeration date
11/01/2006
Last updated
01/20/2026
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