CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1033766613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033766613 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
| Practice Address |
630 W 34th St Ste 303 Austin TX 78705-1232 |
| Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
| Practice Telephone | 5124857200 |
| Practice Fax Number | 8443648678 |
| Mailing Telephone | 5124857208 |
| Mailing Fax Number | 8443648678 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | DR. DANIEL FREDERICK (MD/OWNER) |
| Authorized Official Telephone | 5124857208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063816080 | Central Texas Pain Center, Pllc | Pain Medicine | 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 | 2014-10-20 |
| 1336381813 | Central Texas Pain Center, Pllc | Pharmacy | 213 Hunters Vlg, Suite 100, New Braunfels, TX 78132-4764 | 2009-03-31 |
| 1952958530 | Central Texas Pain Center, Pllc | Durable Medical Equipment & Medical Supplies | 7235 Boat Club Rd, Fort Worth, TX 76179-4555 | 2019-08-20 |
| 1154823201 | Central Texas Pain Center, Pllc | Pain Medicine | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2018-03-05 |
| 1285014431 | Central Texas Pain Center, Pllc | Pain Medicine | 411 S King St, Seguin, TX 78155-5838 | 2015-06-03 |
| 1114322930 | Central Texas Pain Center, Pllc | Pain Medicine | 7201 Wyoming Springs Dr, Suite 400, Round Rock, TX 78681-4311 | 2014-10-23 |
| 1295130912 | Central Texas Pain Center, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2014-10-23 |
| 1699170423 | Central Texas Pain Center, Pllc | Pain Medicine | 250 E Basse Rd, Suite 207, San Antonio, TX 78209-8408 | 2014-10-22 |
| 1922402759 | Central Texas Pain Center, Pllc | Pain Medicine | 205 Woodhew Dr, Suite 203, Waco, TX 76712-6689 | 2014-10-22 |
| 1891792776 | Central Texas Pain Center, Pllc | Pain Medicine | 213 Hunters Village, New Braunfels, TX 78132 | 2005-07-07 |
| Street Address |
630 W 34TH ST STE 303 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457721243 | Kaycee Power Frederick | Nurse Practitioner | 630 W 34th St Ste 303, Austin, TX 78705-1232 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210548 | Pro Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 8617 Spicewood Springs Rd Apt 246, Austin, TX 78759-4358 | 2020-09-18 |
| 1770109308 | Onyx Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2512 S Ih 35 Ste 130, Austin, TX 78704-5750 | 2020-06-19 |
| 1467076802 | Affordable Dme LLC | Durable Medical Equipment & Medical Supplies | 2121 E Oltorf St Ste 2, Austin, TX 78741-4559 | 2020-06-02 |
| 1518589571 | Lotus Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2109 Fortview Rd, Austin, TX 78704-7511 | 2020-05-13 |
| 1639790066 | Fortify Medical Devices & Supplies | Durable Medical Equipment & Medical Supplies | 2106 W Ben White Blvd, Austin, TX 78704-7521 | 2020-04-27 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1548813660 | 360 Wound Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 10713 N Ranch Road 620 Ste 513, Austin, TX 78726-1771 | 2019-07-17 |
| 1437701067 | Fitmelon LLC | Durable Medical Equipment & Medical Supplies | 4201 Monterey Oaks Blvd Apt 1316, Austin, TX 78749-1031 | 2019-07-13 |
| 1508424409 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2500 W Parmer Ln Ste 120, Austin, TX 78727-4232 | 2019-06-05 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.