CENTRAL TEXAS PAIN CENTER, PLLC (NPI# 1922402759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922402759 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS PAIN CENTER, PLLC |
| Other Organization Name | CENTRAL TEXAS PAIN CENTER |
| Practice Address |
205 Woodhew Dr Suite 203 Waco TX 76712-6689 |
| Mailing Address |
Po Box 208354 Dallas TX 75320-8354 |
| Practice Telephone | 2547326632 |
| Practice Fax Number | 8889656907 |
| 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 |
| 1699170423 | Central Texas Pain Center, Pllc | Pain Medicine | 250 E Basse Rd, Suite 207, San Antonio, TX 78209-8408 | 2014-10-22 |
| 1891792776 | Central Texas Pain Center, Pllc | Pain Medicine | 213 Hunters Village, New Braunfels, TX 78132 | 2005-07-07 |
| Street Address |
205 WOODHEW DR SUITE 203 |
| City | WACO |
| State | TX |
| Zip Code | 76712-6689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356255 | Harold Bruce Hamilton | Neurological Surgery | 205 Woodhew Dr, Ste 200, Waco, TX 76712-6689 | 2005-06-17 |
| 1790013134 | H Bruce Hamilton, Md Pa | Neurological Surgery | 205 Woodhew Dr, Suite 200, Waco, TX 76712-6689 | 2009-11-23 |
| 1740458488 | Arthur Frederick Evans | Neurological Surgery | 205 Woodhew Dr, Suite 200, Waco, TX 76712-6689 | 2008-02-15 |
| 1588849020 | Douglas J Freiberger | Anesthesiology | 205 Woodhew Dr, Suite 203, Waco, TX 76712-6689 | 2008-01-03 |
| 1659397628 | Texas Neurological & Pain Institute | Neurological Surgery | 205 Woodhew Dr, Ste 200, Waco, TX 76712 | 2006-07-14 |
| 1487601340 | Texas Neurological & Pain Institute | Neurological Surgery | 205 Woodhew Dr, Suite 200, Waco, TX 76712-6530 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| 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 |
|---|---|---|---|---|
| 1710353701 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 820 S 5th St, Waco, TX 76706-1110 | 2015-08-13 |
| 1639505332 | Steven Weaver | Durable Medical Equipment & Medical Supplies | 1305 Fossil Rdg, Waco, TX 76712-8430 | 2013-09-25 |
| 1407159817 | Urs Medical I, Lp | Durable Medical Equipment & Medical Supplies | 4830 Lakewood Dr Ste 1, Waco, TX 76710-2966 | 2010-12-08 |
| 1891972337 | Ab & Mj Care LLC | Durable Medical Equipment & Medical Supplies | 2012 N Valley Mills Dr, Waco, TX 76710-2561 | 2008-01-28 |
| 1164554903 | Hub Optical Distributing Co Inc | Durable Medical Equipment & Medical Supplies | 3713 Franklin Ave, Waco, TX 76710-7329 | 2007-03-09 |
| 1912040064 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 5201 Bosque Blvd, Suite 230, Waco, TX 76710-4411 | 2007-02-15 |
| 1871640219 | In Vision Eye Care, LLC | Durable Medical Equipment & Medical Supplies | 612 N New Rd, Waco, TX 76710-6035 | 2007-01-05 |
| 1205915048 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 508 Meadowlake Ctr, Waco, TX 76712-3981 | 2006-11-03 |
| 1487758298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 601 N Valley Mills Dr, Waco, TX 76710-4847 | 2006-09-12 |
| 1033124078 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4100 Bosque Blvd, Waco, TX 76710-4815 | 2006-07-29 |
| Find all providers in WACO | ||||
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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.