CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1154823201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154823201 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
| Practice Address |
1304 Wonder World Dr San Marcos TX 78666-7532 |
| Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
| Practice Telephone | 5124981029 |
| Practice Fax Number | 8889721190 |
| Mailing Telephone | 5124857208 |
| Mailing Fax Number | 8443648678 |
| Enumeration Date | 2018-03-05 |
| 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 |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | L9364 | TX | Suppliers |
| 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 |
| 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 |
| 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 |
1304 WONDER WORLD DR |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494334 | David C Jones Md Pa | Radiology | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2005-11-14 |
| 1194078790 | Phoenix Oncology of Texas Pllc | Internal Medicine | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2012-10-19 |
| 1265574263 | 1304 Wonder World Center for Cancer Care Ltd | Radiology | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2007-02-13 |
| 1760417745 | Steven Isidor Sloan | Pain Medicine | 1304 Wonder World Dr, San Marcos, TX 78666 | 2006-07-11 |
| 1659353795 | David C Jones | Radiology | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1841839123 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1929 W San Marcos Blvd, San Marcos, CA 92078-3903 | 2020-01-03 |
| 1215269022 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1302 West Mission Rd, San Marcos, CA 92069-3038 | 2010-02-03 |
| 1477781144 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 105 Wonder World Drive, San Marcos, TX 78666-5936 | 2009-07-01 |
| 1164661344 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1700 Ranch Road 12, San Marcos, TX 78666-2502 | 2009-02-12 |
| 1225275985 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 700 Barnes Dr, San Marcos, TX 78666-6187 | 2009-01-16 |
| 1528204542 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1283 Linda Vista, San Marcos, CA 92078-3831 | 2008-12-22 |
| 1225299597 | Tkh Services | Durable Medical Equipment & Medical Supplies | 300 Cm Allen Pkwy, Suite 216, San Marcos, TX 78666-6900 | 2008-06-19 |
| 1295906444 | Regent Care San Marcos B-3, Limited Partnership | Durable Medical Equipment & Medical Supplies | 1351 Sadler Dr, San Marcos, TX 78666-7774 | 2008-03-17 |
| 1659567204 | H Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1720 Redwood Rd, Suite A, San Marcos, TX 78666 | 2007-09-18 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
Please comment or provide details below to improve the information on CENTRAL TEXAS PAIN CENTER, PLLC.
| 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.