Michael    Howe    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005165
NPI
1710035407
Tax ID
752004153
Effective Date
4/1/2012
Last Updated
10/31/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
217 East Camp Wisdom Road Suite D
Duncanville, TX 75116
United States
County
Dallas
Phone
9722966173 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address