Rob Arthur    Mayer    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000004082
NPI
1235289695
Tax ID
271242258
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
25301 I-45 North
The Woodlands, TX 77380
United States
County
Montgomery
Phone
2813632182 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address