Orlando  N  Villarreal    DC
Contract Details
Facility name
Provider ID
P000004479
NPI
1417187949
Tax ID
943466931
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
8521 North 10th St
McAllen, TX 78504
United States
County
Hidalgo
Phone
9566869355 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address