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
3101 HIGHWAY 71 E STE 211, BASTROP, TX 78602-5157
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208361, DALLAS, TX 75320-8361
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
07/11/2025
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