CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1699170423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699170423 |
Entity Type | Organization |
Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
Other Organization Name | CENTRAL TEXAS PAIN CENTER |
Practice Address |
250 E Basse Rd Suite 207 San Antonio TX 78209-8408 |
Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
Practice Telephone | 2106149955 |
Practice Fax Number | 2106149966 |
Mailing Telephone | 5124857208 |
Mailing Fax Number | 8443648678 |
Enumeration Date | 2014-10-22 |
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 | ||
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 |
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 |
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 |
250 E BASSE RD SUITE 207 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78209-8408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427069459 | Margaret Marie Mann Zeballos | Family Medicine | 250 E Basse Rd, Suite 107, San Antonio, TX 78209-8408 | 2006-08-11 |
1881119568 | Tx-i Medical Services Pa | Physician Assistant | 250 E Basse Rd, San Antonio, TX 78209-8408 | 2017-08-03 |
1417243338 | Samuel Houston Stevens | Anesthesiology | 250 E Basse Rd, San Antonio, TX 78209-8408 | 2011-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
Find all providers in zip 78209 |
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 |
---|---|---|---|---|
1538771407 | Mediplus Services, LLC | Durable Medical Equipment & Medical Supplies | 402 Wild Olive Trl, San Antonio, TX 78256-1628 | 2020-08-20 |
1114542750 | Hair Again Certified Hairloss Specialist | Durable Medical Equipment & Medical Supplies | 10615 Perrin Beitel Rd Ste 402, San Antonio, TX 78217-3141 | 2020-06-09 |
1134741432 | Diabetes Specialty Supply | Durable Medical Equipment & Medical Supplies | 12042 Blanco Rd Ste 325, San Antonio, TX 78216-5440 | 2020-05-11 |
1881215572 | Brooke Strachan | Durable Medical Equipment & Medical Supplies | 4900 Broadway St Ste 700, San Antonio, TX 78209-5739 | 2020-05-04 |
1548899669 | Total-care Dme LLC | Durable Medical Equipment & Medical Supplies | 5405 Bandera Rd Ste 117, San Antonio, TX 78238-1949 | 2020-04-02 |
1053949156 | Ambulatory Strategies Physician Group | Durable Medical Equipment & Medical Supplies | 11823 Culebra Rd Ste 105, San Antonio, TX 78253-4563 | 2020-04-01 |
1881230423 | Bhs Physicians Network, Inc | Durable Medical Equipment & Medical Supplies | 18707 Hardy Oak Blvd Ste 415, San Antonio, TX 78258-4841 | 2019-11-19 |
1841834207 | One Home Medical Equipment Tx LLC | Durable Medical Equipment & Medical Supplies | 1130 Arion Pkwy, San Antonio, TX 78216-2871 | 2019-10-29 |
1558904094 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 18745 Goll St Ste 301, San Antonio, TX 78266-2367 | 2019-10-28 |
1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78209 |
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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.