Sophia    Bekiaras    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000003745
NPI
1063731479
Tax ID
456858206
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
8510 Hillcroft Street
Houston, TX 77096
United States
County
Harris
Phone
7137724607 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address