Frederick, Daniel Anthony

Frederick, Daniel Anthony is an individual health care provider with primary practice located at 4316 James Casey St Ste B , Austin TX 78745-1157. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Frederick, Daniel Anthony can be contacted via phone (855) 876-7246.

Contact Information

Primary practice address
4316 James Casey St Ste B Austin TX 78745-1157
Phone: (855) 876-7246
Fax: (855) 277-5070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L6044 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X L6044 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X L6044 Texas

Profile Details

NPI number 1801973581
LBN Legal business name Frederick, Daniel Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 30th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801973581 NPPES
Texas Other 134818 TEXAS MEDICARE
Texas Other 8V8050 TEXAS MEDICARE
Texas MEDICAID 1578155-04 TEXAS MEDICARE
Texas Other 8L29372 TEXAS MEDICARE

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