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CENTRAL TEXAS PAIN CENTER PLLC NPI 1154823201


NPI Information

NPI: 1154823201
Provider Name: CENTRAL TEXAS PAIN CENTER, PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 45D2203718

Address:
1304 WONDER WORLD DR
SAN MARCOS, TX
ZIP 78666
Phone: (512) 498-1029
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CENTRAL TEXAS PAIN CENTER, PLLC is a durable medical equipment medical supplies in San Marcos, TX. The provider is 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. CENTRAL TEXAS PAIN CENTER, PLLC NPI is 1154823201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1304 WONDER WORLD DR
SAN MARCOS, TX
ZIP 78666-532
Phone: (512) 498-1029
Fax: (888) 972-1190

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 45D2203718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2018 and was last updated on 9/11/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesL9364TEXASNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 5/5/2024

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