Darren    Hagarty    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000004212
NPI
1295766673
Tax ID
300319721
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
3355 Trinity Mills Road Suite 101
Dallas, TX 75287
United States
County
Denton
Phone
9728626460 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address