Dana    Harper    DC
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000005268
NPI
1750503108
Tax ID
710939265
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
4544 Post Oak Place Drive Suite 287
Houston, TX 77027
United States
County
Harris
Phone
7136223456 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address