Organization
CENTRAL TEXAS PAIN CENTER SOUTH 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
250 E BASSE RD STE 207, SAN ANTONIO, TX 78209-8409
(210) 614-9955
(210) 614-9966
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
Primary
L9364
TX
Other
Enumeration date
10/22/2012
Last updated
09/29/2021
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