| NPI | 1114322930 |
|---|---|
| Doing Business As | CENTRAL TEXAS PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL FREDERICK Md/Owner 512-485-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: TX L9364) |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-09-11 |