MEDICARE: CENTRAL TEXAS PAIN CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1801774039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL TEXAS PAIN CENTER, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 208354
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-8354
Country	:	US
Telephone Number	:	512-485-7208
Fax Number	:	737-304-0942

Provider Business Practice Location Address
First Line	:	305 CLINITE GROVE BLVD
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-2367
Country	:	US
Telephone Number	:	855-876-7246
Fax Number	:	855-277-5070

Authorized Official
Title or Position	:	VP OF RCM
Name	:	ANGELA OPALAK
Credential	:
Telephone Number	:	512-485-7200

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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