Richard Joseph    Peters    DC
Contract Details
Facility name
Provider ID
P000005199
NPI
1720095946
Tax ID
760405728
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
3100 Timmons Ln Suite 135
Houston, TX 77027
United States
County
Harris
Phone
7133555343 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address