Xiaodong    Zhang    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000003866
NPI
1124139894
Tax ID
201952323
Effective Date
4/1/2012
Last Updated
10/22/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1101 Raintree Circle Suite 288
Allen, TX 75013
United States
County
Collin
Phone
9727470924 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address