CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1063816080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063816080 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
| Other Organization Name | CENTRAL TEXAS PAIN CENTER |
| Practice Address |
3202 S W S Young Dr Ste 102 Killeen TX 76542-6538 |
| Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
| Practice Telephone | 2542473322 |
| Practice Fax Number | 2544325388 |
| Mailing Telephone | 5124857208 |
| Mailing Fax Number | 8443648678 |
| Enumeration Date | 2014-10-20 |
| 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 |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
L9364 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Central Texas Pain Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336381813 | Central Texas Pain Center, Pllc | Pharmacy | 213 Hunters Vlg, Suite 100, New Braunfels, TX 78132-4764 | 2009-03-31 |
| 1033766613 | Central Texas Pain Center, Pllc | Durable Medical Equipment & Medical Supplies | 630 W 34th St Ste 303, Austin, TX 78705-1232 | 2019-08-20 |
| 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 |
3202 S W S YOUNG DR STE 102 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-6538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887189 | Andrea C Flynn | Nurse Practitioner | 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 | 2019-11-27 |
| 1548631666 | Central Texas Pain Institute, Pllc | Durable Medical Equipment & Medical Supplies | 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
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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.