Provider Type Icon

CENTRAL TEXAS PAIN CENTER NORTH PLLC NPI 1235514704


NPI Information

NPI: 1235514704
Provider Name: CENTRAL TEXAS PAIN CENTER NORTH, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 45D2090358

Address:
4316 JAMES CASEY ST
BLDG B, SUITE 200
AUSTIN, TX
ZIP 78745
Phone: (512) 498-1029
Get Directions

CENTRAL TEXAS PAIN CENTER NORTH, PLLC is an interventional pain medicine pain medicine in Austin, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CENTRAL TEXAS PAIN CENTER NORTH, PLLC NPI is 1235514704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4316 JAMES CASEY ST
BLDG B, SUITE 200
AUSTIN, TX
ZIP 78745-116
Phone: (512) 498-1029
Fax: (512) 369-3366

The provider's authorized official is Daniel Frederick .
The authorized official title is Md/owner and has the following contact phone number (512) 485-7208.

The CLIA number assigned to this NPI record is 45D2090358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 9/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.