CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1285014431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285014431 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
| Other Organization Name | CENTRAL TEXAS PAIN CENTER |
| Practice Address |
411 S King St Seguin TX 78155-5838 |
| Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
| Practice Telephone | 8306099478 |
| Practice Fax Number | 8304339089 |
| Mailing Telephone | 5124857208 |
| Mailing Fax Number | 8443648678 |
| Enumeration Date | 2015-06-03 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Central Texas Pain Center | Doing Business As Name - Organization |
| 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 |
| 1154823201 | Central Texas Pain Center, Pllc | Pain Medicine | 1304 Wonder World Dr, San Marcos, TX 78666-7532 | 2018-03-05 |
| 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 |
411 S KING ST |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-5838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525618 | Frank David Wright | Family Medicine | 411 S King St, Seguin, TX 78155-5838 | 2005-11-14 |
| 1912520503 | Carolyn Noyes | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2020-05-19 |
| 1467943944 | Abigail Lauren Steck | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2018-05-21 |
| 1891225934 | Gwendolyn M Hendricks | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2017-06-12 |
| 1538368535 | Janelle M Block | Nurse Practitioner | 411 S King St, Seguin, TX 78155 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| 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 |
|---|---|---|---|---|
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
| 1790953289 | Jack L Deetjen Md | Durable Medical Equipment & Medical Supplies | 515 N King, Suite 106, Seguin, TX 78155-4815 | 2008-02-19 |
| 1871697680 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 110 S King St, Seguin, TX 78155-5833 | 2006-09-12 |
| 1790707891 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1357 E Court St, Seguin, TX 78155-5130 | 2006-07-25 |
| 1013935808 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 550 S Highway 123 Byp, Seguin, TX 78155-9752 | 2006-07-18 |
| 1962683482 | H & S Champs Medical Ltd | Durable Medical Equipment & Medical Supplies | 205 N King St, Ste A, Seguin, TX 78155-5836 | 2007-11-27 |
| 1649361718 | Vanbob, Inc. | Durable Medical Equipment & Medical Supplies | 519 N King St, # 108, Seguin, TX 78155-4866 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467929 | Rgc Dme Repair Center | Durable Medical Equipment & Medical Supplies | 517 N. 10th Street, Mcallen, TX 78501-4511 | 2020-11-03 |
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1285234468 | Slow Wave, Inc. | Durable Medical Equipment & Medical Supplies | 26100 Countryside Dr, Spicewood, TX 78669-1362 | 2020-10-28 |
| 1639779978 | Med9x Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 808 S.shary Rd, Ste 5, #405, Mission, TX 78572-8569 | 2020-10-27 |
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1245838960 | On Call Medical Services, LLC. | Durable Medical Equipment & Medical Supplies | 537 E Frontage Rd Ste A, Alamo, TX 78516-2336 | 2020-10-14 |
| 1396342143 | Bella Vida Dme, LLC. | Durable Medical Equipment & Medical Supplies | 2604 N Raul Longoria Rd Ste 104, San Juan, TX 78589-4212 | 2020-10-05 |
| 1194322099 | 3j Capital, LLC | Durable Medical Equipment & Medical Supplies | 11805 Interstate 27, Amarillo, TX 79119-3901 | 2020-10-04 |
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| 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.